[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-111-1-內外科護理學-031","nurse-111-1-medical-surgical-031",111,1,31,"有關聽診心音之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"第一心音的產生是僧帽瓣與三尖瓣關閉血液撞擊所造成","聽診心音的主動脈瓣區在胸骨右緣第 2 肋間","聽到第二心音之後心動週期進入心室的舒張期","心臟衰竭病人如出現第三心音會在心室的舒張末期聽到","D",null,[],"本題考點是心音的產生機轉與聽診位置,採否定題。依心動週期,第三心音(S3)發生於心室『舒張早期』快速充填期,血液快速湧入心室撞擊室壁所致,在心臟衰竭、心室容積負荷過多者可聽到;選項 D 稱 S3 在『舒張末期』聽到,時相錯誤(舒張末期出現的是第四心音 S4,與心房收縮相關),故選 D 為錯誤敘述。A 正確,第一心音(S1)為僧帽瓣與三尖瓣關閉所產生。B 正確,主動脈瓣聽診區在胸骨右緣第 2 肋間。C 正確,第二心音(S2)由主動脈瓣與肺動脈瓣關閉產生,標誌心室舒張期開始。","心音時相口訣:S1(房室瓣關,收縮期開始)—S2(半月瓣關,舒張期開始)—S3(舒張早期快速充填,心室容積過負荷,如心衰、二尖瓣逆流,似『Ken-tuc-ky』)—S4(舒張末期心房收縮撞入僵硬心室,如高血壓、主動脈狹窄,似『Ten-nes-see』)。聽診五區:主動脈瓣—胸骨右緣第2肋間;肺動脈瓣—胸骨左緣第2肋間;Erb's point—左緣第3肋間;三尖瓣—左緣第4～5肋間;僧帽瓣—左鎖骨中線第5肋間(心尖)。本題破綻在把 S3 的時相錯放到舒張末期。",[24,26,28,30],{"term":25,"count":10},"心音 S1~S4",{"term":27,"count":10},"第三心音舒張早期",{"term":29,"count":10},"第四心音舒張末期",{"term":31,"count":10},"瓣膜聽診位置",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-032","下列血流動力學檢查結果何者正常？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-048","有關過敏反應護理指導的敘述，下列何者錯誤？",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-062","有關逆行性腎盂造影術之敘述，下列何者正確？①檢查前評估病人有無鋇劑過敏病史 ②檢查前衛教病人勿排空膀胱 ③此檢查使用的顯影劑不會進入血流 ④檢查後監測病人有無尿瀦留、感染、血尿情形",62,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-050","有關漢生病（Hansen’s disease）俗稱痲瘋（leprosy）的照護措施，下列何者正確？",50,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-004","有關腦中風的危險因子，下列敘述何者錯誤？",4,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":10},"nurse-106-1-medical-surgical-048","病人手部有尺側偏斜及近端指關節過度伸展變形，下列何者為其最可能之診斷？",106,"2026-09-04",1788510734500]