[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-109-1-內外科護理學-075","nurse-109-1-medical-surgical-075",109,1,75,"有關肉毒桿菌中毒的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"主因食入被臘腸桿菌產生的外毒素所污染的食物","除腸胃道症狀外，會有高燒","除腸胃道症狀外，會有視力模糊、複視等神經方面的症狀","對中毒病人除須注射抗毒素外，尚須施以洗胃灌腸以中和毒素或排出腸道毒素","B",null,[],"本題考點在於肉毒桿菌中毒的臨床特徵，屬「找錯誤敘述」題。肉毒桿菌外毒素阻斷神經肌肉接合處乙醯膽鹼釋放，造成鬆弛性麻痺，典型表現為視力模糊、複視、吞嚥困難等神經症狀，且病程通常不發燒（afebrile），故「會有高燒」與機轉不符，B 為錯誤敘述、即答案。A 主因食入遭外毒素污染食物（如自製醃漬、罐頭），敘述正確。C 神經性症狀正是本病特徵，敘述正確。D 治療除注射抗毒素中和游離毒素外，配合洗胃灌腸清除腸道未吸收毒素，敘述正確。整題關鍵在辨識肉毒桿菌不以發燒表現。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840747844]