[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-111-2-內外科護理學-075","nurse-111-2-medical-surgical-075",111,2,75,"下列何者在副甲狀腺功能低下病人會呈現陽性反應？",{"A":14,"B":15,"C":16,"D":17},"黎明現象（dawn phenomenon）","洛夫辛徵象（Rovsing’s sign）","腔室症候群（compartment syndrome）","沃斯特克氏徵象（Chvostek’s sign）","D",null,[],"本題考點在於副甲狀腺功能低下所致低血鈣的理學徵象。副甲狀腺功能低下使血鈣下降，神經肌肉興奮性增高，輕敲面神經（耳前顴骨處）會引發同側顏面肌肉抽動，即沃斯特克氏徵象（Chvostek's sign）陽性，故選 D。考點在於低血鈣的特異性理學表徵。A 錯在黎明現象是糖尿病人清晨血糖上升的現象，與血鈣無關。B 錯在洛夫辛徵象是評估闌尾炎（左下腹加壓引右下腹痛）的體徵。C 錯在腔室症候群是肢體筋膜腔內壓升高致循環受阻的外科急症，與副甲狀腺無關。","低血鈣二大徵象：Chvostek's sign（敲面神經→顏面抽動）與 Trousseau's sign（血壓計加壓致手腕痙攣、助產士手）。副甲狀腺素（PTH）不足→血鈣↓、血磷↑，可致手足搐搦、喉痙攣。與甲狀腺全切除術後暫時性副甲狀腺受損有關，須監測低血鈣徵象。",[24,27,29,32],{"term":25,"count":26},"副甲狀腺功能低下",7,{"term":28,"count":26},"低血鈣",{"term":30,"count":31},"神經肌肉興奮性",3,{"term":33,"count":34},"Chvostek's sign",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-medical-surgical-076","有關骨折病人到院前急救處理原則，下列何者為最優先的處置？",76,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-2-medical-surgical-012","有關潰瘍性結腸炎（ulcerative colitis）的敘述，下列何者正確？①易侵犯全腸壁 ②易造成肛門瘻管 ③易有裡急後重感 ④糞便中經常帶血",12,112,{"webId":46,"stem":47,"number":48,"year":44,"session":31},"nurse-112-3-medical-surgical-026","病人於化學治療後抽血報告顯示 WBC 3,000\u002FμL、Platelet 30,000\u002FμL、Hb 12g\u002FdL，下列照護措施何者最適宜？",26,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-114-1-medical-surgical-024","為一位乳癌骨轉移合併脊髓壓迫的病人進行身體評估時，下列症狀或徵象何者最不常出現？",24,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-115-2-medical-surgical-028","下列何項檢驗項目與傳染性疾病較無關？",28,115,{"webId":60,"stem":61,"number":43,"year":62,"session":34},"nurse-107-1-medical-surgical-012","有關促使食道下括約肌壓力降低之物質，下列何者錯誤？",107,"2026-09-04",1788510738913]