[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-112-1-內外科護理學-019","nurse-112-1-medical-surgical-019",112,1,19,"有關腕隧道症候群病人之身體檢查評估結果，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"湯瑪斯試驗（Thomas test）陽性反應","浮動試驗（ballottement test）陽性反應","麥默雷氏試驗（McMurray’s test）陽性反應","費林氏徵象（Phalen’s sign）陽性反應","D",null,[],"本題考點在於腕隧道症候群的理學檢查。依神經壓迫評估,腕隧道症候群為正中神經在腕部受壓,費林氏徵象(Phalen's sign)以雙腕掌屈約60秒誘發手指麻木刺痛,陽性即支持診斷,故正確答案為D。A湯瑪斯試驗評估髖關節屈曲攣縮;B浮動試驗檢查膝關節積液;C麥默雷氏試驗評估膝半月板損傷,三者部位與腕隧道無關,故皆錯。","腕隧道症候群兩大理學測試:Phalen's(腕掌屈誘發麻痛)與Tinel's(敲擊腕部正中神經誘發放電感)。症狀分布為拇指、食指、中指及無名指橈側麻木,夜間加重。對照:Thomas=髖、McMurray=膝半月板、Ballottement=膝積液,把部位背清楚就不會混淆。",[24,27,29,31],{"term":25,"count":26},"腕隧道症候群",5,{"term":28,"count":10},"費林氏徵象Phalen's sign",{"term":30,"count":10},"正中神經壓迫",{"term":32,"count":10},"理學檢查鑑別",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-020","有關骨質疏鬆症病人對於護理指導之回覆，下列何者表示病人已經清楚指導內容？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-2-medical-surgical-036","下列何者為避免結腸癌的保護因子？①鼓勵食用紅肉 ②不需限制油脂的攝取 ③維持適當的體重 ④維持規律運動 ⑤補充適當的纖維攝取",36,2,{"webId":44,"stem":45,"number":46,"year":9,"session":47},"nurse-112-3-medical-surgical-050","根據 2020 年美國心臟醫學會（AHA）公告的「生存之鏈（chain of survival）」急救步驟，發生於醫院內心臟停止的照護（in hospital cardiac arrest, IHCA），其急救重點次序，下列何者正確？①即早辨識和預防 ②緊急應變系統啟動 ③施行高品質 CPR ④去顫 ⑤心臟停止後照護 ⑥復原",50,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-medical-surgical-048","72歲男性，有心臟病病史，夏天逛露天賣場時不明原因昏倒，臉色潮紅，皮膚乾熱，呼吸24次／分，脈搏強而快，體溫41.5℃，下列何者為其最可能診斷？",48,114,{"webId":54,"stem":55,"number":42,"year":56,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-036","有關癌症疼痛治療三階段給藥之敘述，下列何者正確？①定時給藥 ②需要時給藥 ③口服優先 ④先考慮靜脈注射給藥 ⑤優先考慮低效性麻醉劑 ⑥先從非麻醉性製劑開始",107,"2026-09-04",1788510741869]