[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-001":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-113-1-內外科護理學-001","nurse-113-1-medical-surgical-001",113,1,"有關多發性硬化症之診斷檢查，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"腦脊髓液分析可發現IgG抗體上升","視覺誘發電位可觀察到受損的神經在傳導過程出現延遲和中斷","超音波檢查可發現中樞神經系統髓鞘脫失","核磁共振影像可用來確認多發性硬化症之斑塊","C",null,[],"本題考點在於多發性硬化症(MS)的診斷檢查,為反向題(問何者「錯誤」)。錯誤敘述為 C「超音波檢查可發現中樞神經系統髓鞘脫失」——超音波無法穿透顱骨評估腦部髓鞘病變,MS 的髓鞘脫失斑塊須以核磁共振(MRI)診斷,故選 C。A 腦脊髓液分析可見 IgG(寡株帶)上升,為 MS 支持性發現,正確;B 視覺誘發電位可測得受損神經傳導延遲或中斷,正確;D MRI 是確認 MS 脫髓鞘斑塊的首選影像,正確。因此錯誤者為 C。","多發性硬化症是中樞神經(腦與脊髓)的自體免疫性脫髓鞘疾病,診斷依「空間多發性與時間多發性」的病灶證據。三大檢查:MRI(首選,顯示白質脫髓鞘斑塊,含 T2 高訊號病灶)、腦脊髓液分析(寡株帶 oligoclonal bands、IgG index 上升)、誘發電位(視覺\u002F體感誘發電位顯示傳導延遲)。超音波因無法穿透顱骨、解析度不足,不用於中樞神經髓鞘評估。記憶:凡中樞神經實質病變的影像診斷,首選 MRI 而非超音波或 X 光。",[23,26,28,30],{"term":24,"count":25},"多發性硬化症",7,{"term":27,"count":10},"MRI診斷脫髓鞘",{"term":29,"count":10},"腦脊髓液寡株帶",{"term":31,"count":10},"超音波限制",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-002","下列何者不是腦幹中風的常見之表徵？",2,{"webId":38,"stem":39,"number":40,"year":9,"session":36},"nurse-113-2-medical-surgical-048","有關心因性休克的敘述，下列何者正確？",48,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-114-1-medical-surgical-042","有關糖尿病酮酸中毒（DKA）之處置，下列何者正確？①建立靜脈輸液，由低劑量胰島素開始給與 ②最初2小時，給與0.45％生理食鹽水維持電解質平衡         ③等尿液排出量恢復正常，應補充鉀離子 ④血液pH值>7.1時，則與以重碳酸鈉（NaHCO 3）",42,114,{"webId":47,"stem":48,"number":49,"year":50,"session":36},"nurse-115-2-medical-surgical-040","有關接受膀胱鏡檢查病人的護理指導，下列何者不適當？",40,115,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-1-medical-surgical-034","有關化學藥物發生滲漏之處置，下列何者正確？",34,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-1-medical-surgical-068","有關糖尿病病人運動之護理指導，下列何者正確？",68,108,"2026-09-04",1788510750229]