[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-024":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-114-1-內外科護理學-024","nurse-114-1-medical-surgical-024",114,1,24,"為一位乳癌骨轉移合併脊髓壓迫的病人進行身體評估時，下列症狀或徵象何者最不常出現？",{"A":14,"B":15,"C":16,"D":17},"背部疼痛指數7分（滿分10分）","布魯辛斯基氏徵象（Brudzinski's sign）陽性","大小便失禁情形","巴賓斯基氏徵象（Babinski's sign）陽性","B",null,[],"本題考點在於脊髓壓迫的神經學徵象辨識，屬反向題，須挑出最不常出現者。乳癌骨轉移壓迫脊髓時，依受壓部位會出現局部背痛、上運動神經元徵象與括約肌功能障礙：背部疼痛（A）為最早且最常見症狀，大小便失禁（C）反映自主神經受損，巴賓斯基氏徵象陽性（D）代表上運動神經元路徑受壓，皆屬典型表現。B的布魯辛斯基氏徵象是腦膜刺激徵象，見於腦膜炎或蛛網膜下腔出血，與脊髓機械性壓迫無關，故最不常出現，為本題答案。","脊髓壓迫是腫瘤急症，機轉為腫瘤或塌陷椎體壓迫脊髓造成下行運動徑受損，故出現痙攣性癱瘓、腱反射亢進與Babinski陽性等上運動神經元徵象，並影響膀胱直腸。Brudzinski與Kernig徵象測的是腦脊髓膜受刺激時的頸屈與伸膝反應，屬腦膜炎範疇。辨題關鍵：壓迫看「傳導路徑」，發炎看「腦膜刺激」，兩者訊號來源不同。",[24,27,30,32,34],{"term":25,"count":26},"腦膜刺激徵象",4,{"term":28,"count":29},"上運動神經元徵象",2,{"term":31,"count":29},"巴賓斯基氏徵象",{"term":33,"count":29},"布魯辛斯基氏徵象",{"term":35,"count":10},"脊髓壓迫",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-114-1-medical-surgical-025","下列何者接受自體移植治療後的5年存活率最高？",25,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-114-3-medical-surgical-021","有關真性紅血球增多症常見的併發症，下列敘述何者最不適當？",21,3,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-115-2-medical-surgical-015","有關喉癌病人行全喉切除術後之敘述，下列何者正確？",15,115,{"webId":52,"stem":53,"number":45,"year":54,"session":10},"nurse-107-1-medical-surgical-003","姚先生被車子碾過造成 T12，L1～L3 脊髓損傷，到達急診後出現脊髓休克，下列敘述何者錯誤？",107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-1-medical-surgical-047","針對 HIV 感染或 HIV 感染狀況不明者的相關防範措施之敘述，下列何者錯誤？",47,108,{"webId":61,"stem":62,"number":10,"year":63,"session":29},"nurse-109-2-medical-surgical-001","有關顱內壓升高的處置，下列敘述何者正確？",109,"2026-09-04",1788510757391]