[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-053":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-107-2-內外科護理學-053","nurse-107-2-medical-surgical-053",107,2,53,"一位肺氣腫病人突然覺得呼吸短促，醫生診斷為自發性氣胸，下列何者是造成此情形最可能的原因？",{"A":14,"B":15,"C":16,"D":17},"氣管與食道間的瘻管","肋膜磨擦間的瘻管","胸壁穿刺性的傷口","肺臟頂端的氣泡破裂","D",null,[],"本題考點在肺氣腫併發自發性氣胸的機轉。依病理生理,肺氣腫因肺泡壁破壞、彈性回縮力喪失,常在肺臟頂端形成氣泡(bleb\u002Fbulla),此薄壁氣泡自行破裂使空氣漏入肋膜腔,即造成自發性氣胸,故選 D。選項 A 氣管食道瘻管會導致吸入與感染,與氣胸無關;選項 B 肋膜摩擦屬肋膜炎表現,不會形成瘻管造成漏氣;選項 C 胸壁穿刺性傷口造成的是外傷性或開放性氣胸,而非『自發性』。題幹強調自發性且有肺氣腫病史,對應的正是肺尖氣泡破裂此一內源性成因。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"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":32,"stem":33,"number":34,"year":27,"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":36,"stem":37,"number":38,"year":27,"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":40,"stem":41,"number":42,"year":27,"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":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840751185]