[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-106-2-內外科護理學-008","nurse-106-2-medical-surgical-008",106,2,8,"下列何者為重症肌無力病人最早出現的症狀？",{"A":14,"B":15,"C":16,"D":17},"眼瞼下垂","吞嚥困難","呼吸困難","四肢無力","A",null,[],"本題考點為重症肌無力(myasthenia gravis)的初期症狀順序。此病為神經肌肉接合處乙醯膽鹼受體受自體抗體攻擊,最早、最常受影響的是眼外肌與提上眼瞼肌,故臨床上最早出現的症狀多為眼瞼下垂(ptosis)與複視,答案為A。B吞嚥困難、C呼吸困難屬延髓肌與呼吸肌受累的較後期表現,尤其呼吸困難可進展為肌無力危象,是嚴重階段。D四肢無力屬全身型肌肉受累,通常在眼部症狀之後才逐漸出現。依症狀進展由眼部先起的規律,最早者為眼瞼下垂,選A。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":28,"stem":29,"number":10,"year":9,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840736930]