[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-114-2-內外科護理學-045","nurse-114-2-medical-surgical-045",114,2,45,"有關糖尿病足部之身體評估可能結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"足部的外形改變","皮膚乾燥造成裂隙","腳趾的震動覺消失","跟腱肌腱反射+++","D",null,[],"本題考點在於糖尿病周邊神經病變與血管病變在足部的評估表現。本題為反向題,錯誤敘述為 D:糖尿病周邊神經病變會使深部肌腱反射(如跟腱反射)「減弱或消失」,不可能呈亢進的+++,故 D 錯誤選之。A 正確,神經病變合併肌肉萎縮可致足部變形如夏柯氏足(Charcot foot)。B 正確,自主神經受損使排汗減少、皮膚乾燥而龜裂。C 正確,大纖維感覺神經受損最早出現震動覺與本體感覺喪失。比對後,唯 D 的反射亢進與下運動神經型病變的反射減弱方向相反。","糖尿病足源自三重打擊:感覺神經病變(痛覺喪失致不自覺受傷)、自主神經病變(乾燥龜裂)、周邊動脈疾病(缺血難癒)。深部肌腱反射屬下運動神經弧,病變時「往下掉」;反射亢進屬上運動神經元病灶。臨床以 10 g 單股尼龍絲與 128 Hz 音叉篩檢保護性感覺。",[24,26,29,31,33],{"term":25,"count":10},"糖尿病周邊神經病變",{"term":27,"count":28},"跟腱反射減弱",1,{"term":30,"count":28},"夏柯氏足",{"term":32,"count":28},"自主神經病變",{"term":34,"count":28},"震動覺",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-medical-surgical-046","有關副甲狀腺機能亢進造成的影響，下列何者錯誤？",46,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-115-1-medical-surgical-042","有關副甲狀腺功能低下之敘述，下列何者正確？",42,115,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-106-1-medical-surgical-036","有關惡性腫瘤特性之敘述，下列何者錯誤？",36,106,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-107-1-medical-surgical-074","有關淋巴瘤的國際性預後指標，下列何者錯誤？",74,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-medical-surgical-038","下列何者屬於發疱劑（vesicant agent）的化學治療製劑？",38,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-2-medical-surgical-072","有關糖尿病的敘述，下列何者正確？",72,109,"2026-09-04",1788510759880]