[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-074","nurse-112-1-medical-surgical-074",112,1,74,"下列何種情況可能會導致特魯索氏（Trousseau）與沃斯德克氏（Chvostek）徵象皆呈陽性反應？①低血鈣 ②低血鉀 ③低血糖 ④副甲狀腺功能低下症",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點為低血鈣引發的神經肌肉過度興奮徵象。特魯索氏與沃斯德克氏徵象皆源自血鈣過低使運動神經興奮閾值下降、出現手足搐搦；副甲狀腺功能低下會使副甲狀腺素分泌不足、血鈣隨之下降，故①低血鈣與④副甲狀腺功能低下症皆會導致兩徵象呈陽性，選 B。②低血鉀主要表現為肌肉無力與心律不整，不引發此二徵象；③低血糖以交感神經興奮及腦部症狀為主，機轉與低鈣抽搐不同，故凡含②或③的選項皆排除。","Trousseau 徵象為壓脈帶加壓超過收縮壓約 3 分鐘誘發腕部痙攣；Chvostek 徵象為輕敲顏面神經引起同側顏面肌抽動，兩者皆反映低鈣性手足搐搦（tetany）。記憶鏈：副甲狀腺素↓→血鈣↓→神經肌肉興奮↑。可連結維生素 D 缺乏、慢性腎衰竭亦致低血鈣。",[24,27,29,32,34],{"term":25,"count":26},"低血鈣",7,{"term":28,"count":26},"副甲狀腺功能低下",{"term":30,"count":31},"特魯索氏徵象",2,{"term":33,"count":10},"沃斯德克氏徵象",{"term":35,"count":10},"手足搐搦",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-medical-surgical-075","有關急救使用手壓式甦醒球面罩（Ambu Bag mask）給與人工呼吸的敘述，下列何者正確？",75,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-112-3-medical-surgical-011","有關急性胰臟炎的處置，下列敘述何者最不適當？",11,3,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-113-2-medical-surgical-005","20 歲男性，清晨騎乘重機外出不小心與大卡車擦撞滑倒顳側先著地，送醫時 GCS E4V5M6，為安全起見留院觀察，2 小時後病人突然喪失意識，診斷為硬膜上出血，下列敘述何者錯誤？",5,113,{"webId":52,"stem":53,"number":45,"year":54,"session":45},"nurse-114-3-medical-surgical-003","有關阿茲海默症的早期臨床表徵，下列敘述何者正確？①對人和周遭發生的事件興趣降低 ②無法進行簡單的計算 ③學習新事物之能力降低 ④工作表現變差 ⑤夜間活動增加",114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-057","使用下列那一種肺結核治療藥物不需監測肝功能？",57,106,{"webId":61,"stem":62,"number":44,"year":63,"session":31},"nurse-107-2-medical-surgical-011","有關胃食道逆流的臨床表徵，下列何者最不常見？",107,"2026-09-04",1788510742353]