[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-003":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-110-1-內外科護理學-003","nurse-110-1-medical-surgical-003",110,1,3,"下列何者為重症肌無力病人最早受到影響的肌肉？",{"A":14,"B":15,"C":16,"D":17},"眼肌","咽喉肌","呼吸肌","膀胱逼尿肌","A",null,[],"本題考點為重症肌無力(myasthenia gravis)的臨床表現與受侵犯順序。依其病生理,神經肌肉接合處的乙醯膽鹼受體被自體抗體破壞,最先受影響的是小而精細、活動頻繁的眼外肌,故臨床最早、最常見的表現為眼瞼下垂與複視,答案選 A。選項 B 咽喉肌受侵犯較晚,出現吞嚥與構音困難是病程進展後的表現;選項 C 呼吸肌受累屬嚴重的肌無力危象,是後期危及生命的階段而非最早;選項 D 膀胱逼尿肌屬平滑肌、受自律神經支配,而重症肌無力侵犯的是骨骼肌的神經肌肉接合處,不會以逼尿肌無力為表現。",[23,27,31,34,38,42],{"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":11,"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？",{"webId":35,"stem":36,"number":37,"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":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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？",6,1783840761999]