[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-005":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-113-2-內外科護理學-005","nurse-113-2-medical-surgical-005",113,2,5,"20 歲男性，清晨騎乘重機外出不小心與大卡車擦撞滑倒顳側先著地，送醫時 GCS E4V5M6，為安全起見留院觀察，2 小時後病人突然喪失意識，診斷為硬膜上出血，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"主要是靜脈血管破裂","常先經歷一段正常的清醒期","易出現顱內壓升高的症狀","以手術治療為主","A",null,[],"本題考點在於硬膜上出血(epidural hematoma, EDH)的病理機轉與臨床特徵,本題為找出錯誤敘述的反向題。硬膜上出血多因顳骨骨折損及「中腦膜動脈」(middle meningeal artery)造成動脈性出血,A 稱「主要是靜脈血管破裂」錯誤,即本題答案(靜脈破裂多見於硬膜下出血)。B 正確:典型病程常有短暫清醒期(lucid interval),受傷昏迷後短暫清醒,隨血腫擴大再度惡化;C 正確:動脈出血快速累積,易迅速出現顱內壓升高症狀;D 正確:EDH 常需緊急手術清除血腫、止血減壓。故選 A。",1,[24,28,31,35,39,42],{"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":11,"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？",{"webId":43,"stem":44,"number":45,"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？",6,1783840783095]