[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"lastmod":59},"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-113-1-內外科護理學-002","nurse-113-1-medical-surgical-002",113,1,2,"下列何者不是腦幹中風的常見之表徵？",{"A":14,"B":15,"C":16,"D":17},"眼球活動不協調","運動功能障礙","手顫抖","嘔吐反射減弱","C",null,[],"本題考點在於腦幹中風的常見表徵辨識,為反向題(問何者「不是」)。腦幹掌管眼球運動、運動與感覺傳導路徑及多項顱神經反射,故 A 眼球活動不協調(眼球運動核受損)、B 運動功能障礙(皮質脊髓徑通過腦幹)、D 嘔吐反射減弱(第九、十對顱神經核受損)皆為腦幹中風常見表徵。C「手顫抖」主要與小腦或基底核(如帕金森氏症)病變相關,並非腦幹中風的典型特徵,故選 C。因此不屬於腦幹中風表徵者為 C。","腦幹(中腦、橋腦、延腦)是生命中樞與眾多顱神經核所在,並有上下行運動感覺徑通過。腦幹中風典型表現:複視與眼球運動異常(動眼、外展神經核)、對側肢體運動障礙(皮質脊髓徑)、吞嚥困難與嘔吐反射減弱(舌咽、迷走神經核)、構音障礙、暈眩與平衡失調,嚴重者影響呼吸循環中樞。意向性顫抖(intention tremor)屬小腦徵象,靜止性顫抖(resting tremor)屬基底核(帕金森),兩者皆非腦幹核心表徵,故手顫抖為此題答案。",[24,26,28],{"term":25,"count":10},"腦幹中風",{"term":27,"count":10},"顱神經核",{"term":29,"count":10},"手顫抖與小腦基底核",[31,35,39,44,49,54],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-113-1-medical-surgical-003","有關頭部外傷病人顱內壓升高的處置，下列何者錯誤？",3,{"webId":36,"stem":37,"number":38,"year":9,"session":11},"nurse-113-2-medical-surgical-049","當意識不清病人被送至急診，檢查瞳孔兩側等大且小於 2.0 mm，可能為下列何者中毒？①有機磷 ②安非他命 ③鴉片 ④古柯鹼",49,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-114-1-medical-surgical-043","有關服用治療甲狀腺機能亢進之放射性碘（ 131I）的敘述，下列何者正確？",43,114,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-115-2-medical-surgical-041","有關腎病症候群病人的護理指導，下列何者正確？",41,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-medical-surgical-035","有關保護性隔離之敘述，下列何者正確？",35,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-069","下列何者可評估糖尿病病人過去 3 個月的血糖控制情形？",69,108,"2026-09-04",1788510750237]