[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-內外科護理學-010","nurse-112-1-medical-surgical-010",112,1,10,"進行內視鏡逆行性膽胰攝影檢查，若導管不易進入總膽管，可使用下列何種藥物讓歐迪氏括約肌（sphincter of Oddi）鬆弛？",{"A":14,"B":15,"C":16,"D":17},"Atropine","Buscopan","MgSO 4","Xylocaine","C",null,[],"本題考點在於內視鏡逆行性膽胰攝影（ERCP）時鬆弛歐迪氏括約肌（sphincter of Oddi）的用藥。依藥理，硫酸鎂（MgSO₄）可放鬆平滑肌、使 Oddi 括約肌鬆弛，利於導管進入總膽管，故選 C。A 的 Atropine 屬抗膽鹼劑，主抑制腺體分泌與減慢心跳，非此處鬆弛括約肌首選；B 的 Buscopan 雖為解痙劑但非本題指定答案；D 的 Xylocaine 為局部麻醉劑，作用是止痛麻醉而非鬆弛括約肌。故以 MgSO₄ 鬆弛 Oddi 括約肌最符題意，選 C。","歐迪氏括約肌控制膽汁與胰液進入十二指腸，ERCP 需其鬆弛以利插管。硫酸鎂具鬆弛平滑肌、利膽作用（口服可作瀉劑與利膽）。此題屬較冷門的操作性藥理細節，需記憶 ERCP 情境專用。對比：Atropine 減分泌、Xylocaine 局麻，皆非鬆弛括約肌的對應機轉，避免誤選解痙或麻醉類。",[24,26,28,30],{"term":25,"count":10},"ERCP 檢查",{"term":27,"count":10},"歐迪氏括約肌",{"term":29,"count":10},"硫酸鎂平滑肌鬆弛",{"term":31,"count":10},"膽胰攝影用藥",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-011","有關升結腸造瘻的敘述，下列何者正確？",11,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-027","有關第一期心臟復健，下列敘述何者錯誤？",27,2,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-medical-surgical-041","腎衰竭病人的飲食護理指導，下列敘述何者正確？",41,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-medical-surgical-039","陳先生，88歲，因全身水腫，呼吸喘至急診求治，診斷為急性腎衰竭，下列敘述何者正確？",39,114,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-115-2-medical-surgical-043","有關抗利尿不當症候群（SIADH）的臨床表徵，下列何者正確？①血鈉 128 mEq\u002FL ②尿鈉 40 mEq\u002FL ③尿比重 1.050 ④血漿滲透壓 350 mOsmo\u002Fkg ⑤尿液滲透壓 50 mOsmo\u002Fkg",43,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-027","有關發生蘇莫吉效應（Somogyi effect）之敘述，下列何者正確？",107,"2026-09-04",1788510741780]