[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-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-109-2-內外科護理學-008","nurse-109-2-medical-surgical-008",109,2,8,"陳先生早上騎機車出門上班時，於十字路口與計程車擦撞倒地，同時頭部撞到地面，當時意識清楚但有多處擦傷及撕裂傷，由救護車送至急診室，當醫師正在縫合傷口時，陳先生突然喪失意識，其最大可能為下列何種頭部創傷？",{"A":14,"B":15,"C":16,"D":17},"硬膜上出血","蜘蛛膜下腔出血","硬膜下出血","顱內出血","A",null,[],"本題考點在於依清醒期（lucid interval）病程辨識頭部外傷的出血類型。病人撞擊後意識清楚，一段時間後突然喪失意識，最符合硬膜上出血，選 A。硬膜上出血多為中腦膜動脈破裂的動脈性出血，初期腦組織尚可代償故清醒，待血腫快速累積壓迫腦幹便急遽昏迷。B 蜘蛛膜下腔出血典型為突發劇烈頭痛與腦膜刺激徵象，較少清醒期模式。C 硬膜下出血為橋靜脈滲血、進展較慢，急性者昏迷多持續，不呈短暫清醒期。D 顱內出血泛指腦實質內出血，多伴局部神經缺損，不以清醒期為特徵。故最可能為硬膜上出血。",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？",6,1783840754872]