[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"lastmod":60},"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":11},"nurse-114-3-內外科護理學-001","nurse-114-3-medical-surgical-001",114,3,1,"有關癲癇病人的症狀及其治療，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"複雜性部分發作，病兆常源自於顳葉，通常發作前有先兆症狀","癲癇重積狀態是指持續抽搐發作超過 5 分鐘或 2 次發作之間意識未恢復","泛發型發作中的強直－陣攣性發作時，會在陣攣後期出現牙關緊閉及雙腳伸直","開始時僅採單一藥物治療，再逐漸增加劑量，直到被控制或出現藥物毒性","C",null,[],"本題考點在於癲癇發作分型與治療原則,本題為反向題,問「最不適當」者。考點在於強直－陣攣發作的時序:牙關緊閉與雙腳伸直屬於強直期(tonic phase)的表現,而非陣攣後期,故錯誤敘述為 C,選 C。A 複雜性部分發作病灶常源自顳葉且發作前多有先兆,敘述正確。B 癲癇重積狀態定義為持續抽搐超過 5 分鐘,或兩次發作之間意識未恢復,符合現行定義。D 抗癲癇藥物起始採單一藥物由低劑量漸增,直到控制或出現毒性,是標準用藥原則。四者中僅 C 把強直期表現誤置於陣攣後期,因此最不適當。","泛發型強直－陣攣發作(GTCS)分兩期:強直期全身肌肉持續收縮,出現牙關緊閉、四肢伸直、呼吸暫停與發紺;陣攣期則為肢體規律性抽動,逐漸變慢後進入發作後昏睡。癲癇重積屬急症,長時間抽搐會導致腦缺氧與神經損傷。用藥採單一藥物滴定可減少交互作用與副作用,療效不佳再考慮多重用藥。記憶:強直=僵直伸直,陣攣=抖動。",[24,26,28],{"term":25,"count":11},"強直-陣攣發作分期",{"term":27,"count":11},"癲癇重積狀態定義",{"term":29,"count":11},"抗癲癇藥物單一起始",[31,35,40,45,50,55],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-114-3-medical-surgical-002","62 歲王女士，因在家突然四肢無力至急診，意識清楚，但四肢癱瘓、不能言語，可依指示轉動眼球和眨眼，下列那一部分功能最可能受損？",2,{"webId":36,"stem":37,"number":38,"year":39,"session":11},"nurse-115-1-medical-surgical-048","有關有機磷中毒臨床處置之敘述，下列何者錯誤？",48,115,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-106-1-medical-surgical-042","有關慢性疼痛的特徵，下列何者正確？",42,106,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-107-1-medical-surgical-080","有關登革熱之處置，下列何者錯誤？",80,107,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-108-2-medical-surgical-044","有關焦痂切開術的敘述，下列何者正確？",44,108,{"webId":56,"stem":57,"number":58,"year":59,"session":34},"nurse-109-2-medical-surgical-078","下列何種情況之病人不適合接受低張靜脈溶液輸注？",78,109,"2026-09-04",1788510761839]