[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"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":11},"nurse-114-3-內外科護理學-002","nurse-114-3-medical-surgical-002",114,3,2,"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？",{"A":14,"B":15,"C":16,"D":17},"橋腦","脊髓","大腦廣泛性傷害","右側小腦","A",null,[],"本題考點在於閉鎖症候群(locked-in syndrome)的定位。考點在於症狀組合:病人意識清楚、四肢癱瘓、無法言語,但能依指示轉動眼球與眨眼,顯示皮質功能與垂直眼動保留,而運動下行徑路中斷,病灶最可能位於橋腦(pons)腹側,故選 A。B 脊髓損傷不會單獨造成無法言語且保留眼球活動的此種組合。C 大腦廣泛性傷害會使意識喪失,與病人意識清楚不符。D 右側小腦受損主要造成同側協調障礙與共濟失調,不會導致四肢癱瘓合併保留眼動的表現。因此定位在橋腦最相符。","閉鎖症候群多因橋腦腹側基底(basilar pons)梗塞或出血,破壞皮質脊髓束與皮質延髓束,使病人喪失四肢與臉部隨意運動及發聲,但因中腦動眼與間腦被蓋保留,故能以垂直眼動與眨眼溝通,且意識與認知完整。臨床須與植物人狀態鑑別:後者無意識,前者意識清醒。基底動脈是關鍵供血血管,故此症與後循環中風密切相關。",[24,26,29],{"term":25,"count":11},"皮質脊髓束",{"term":27,"count":28},"閉鎖症候群 locked-in syndrome",1,{"term":30,"count":28},"橋腦腹側基底",[32,35,40,45,49,54],{"webId":33,"stem":34,"number":10,"year":9,"session":10},"nurse-114-3-medical-surgical-003","有關阿茲海默症的早期臨床表徵，下列敘述何者正確？①對人和周遭發生的事件興趣降低 ②無法進行簡單的計算 ③學習新事物之能力降低 ④工作表現變差 ⑤夜間活動增加",{"webId":36,"stem":37,"number":38,"year":39,"session":28},"nurse-115-1-medical-surgical-049","有關病人誤食強鹼溶液之處置，下列何者錯誤？",49,115,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-106-1-medical-surgical-043","有關三度燒傷傷口的處置，下列何者錯誤？",43,106,{"webId":46,"stem":47,"number":28,"year":48,"session":11},"nurse-107-2-medical-surgical-001","古先生，35 歲，為貨運司機，因腰椎椎間盤突出接受手術治療，術後依醫師指示需穿背架 6 個月，下列敘述何者錯誤？",107,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-108-2-medical-surgical-045","有關燒傷病人的緊急處理措施 5 步驟之敘述，下列何者錯誤？",45,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-109-2-medical-surgical-079","有關有機磷農藥之敘述，下列何者錯誤？",79,109,"2026-09-04",1788510761860]