[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-111-1-內外科護理學-018","nurse-111-1-medical-surgical-018",111,1,18,"有關腕隧道症候群的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是指腕部正中神經受到壓迫所造成的現象","主要發生在男性，以 50～60 歲居多","臨床症狀是疼痛且腕部無法伸直","可藉由膨脹徵象（Bulge sign）與霍曼氏徵象（Homan’s sign）確定診斷","A",null,[],"本題考點是腕隧道症候群的病理與臨床特徵。依定義,腕隧道症候群是腕部『正中神經』在腕隧道內受到壓迫所致,故選 A 正確。B 錯,好發族群以『女性』及需重複腕部動作者(如打字、家務)為主,年齡多為中年,而非以男性 50～60 歲居多。C 錯,主要症狀是正中神經支配區(拇、食、中指及無名指橈側)的麻木、刺痛與夜間加劇,並非『腕部無法伸直』的關節活動受限。D 錯,診斷靠 Tinel sign、Phalen test 及神經傳導檢查;膨脹徵象用於膝關節積液、Homan's sign 用於評估深部靜脈栓塞,皆與本病無關。","正中神經在腕隧道受壓→拇食中指與無名指橈側半麻痛、夜間加劇、甩手可暫緩,久之大魚際肌萎縮、握力下降。誘發測試:Phalen(雙腕屈曲 60 秒誘麻)、Tinel(輕敲腕正中神經誘電擊感)。辨別陷阱:Homan's sign=DVT、Bulge\u002F膨脹徵象=膝關節積液,與腕隧道無關,屬張冠李戴誘答。處置由保守(副木固定、避免重複動作、類固醇)到手術減壓(切開腕橫韌帶)。",[24,27,30,32],{"term":25,"count":26},"腕隧道症候群",5,{"term":28,"count":29},"正中神經受壓",2,{"term":31,"count":29},"好發女性",{"term":33,"count":10},"Phalen 與 Tinel 徵象",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-019","王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",19,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-035","有關多發性骨髓瘤病人的護理指導，下列何者錯誤？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-049","有關全身性紅斑性狼瘡病人之護理指導，下列何者錯誤？",49,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-037","有關腎臟移植過程之敘述，下列何者錯誤？",37,113,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-114-2-medical-surgical-041","高小姐的動脈血液氣體分析結果為 pH 7.48、PaCO 2 48 mmHg、HCO 3- 30 mmHg、PaO 2 92 mmHg，根據以上數值，判讀結果下列何者正確？",41,114,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-1-medical-surgical-035","有關化學治療的適應症，下列何者正確？",106,"2026-09-04",1788510734369]