[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-002":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-113-3-內外科護理學-002","nurse-113-3-medical-surgical-002",113,3,2,"有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"因 Mestinon 使用過量而失去阻斷作用","病人會出現視力模糊、瞳孔收縮","病人會出現血壓上升、心搏過速","病人會出現支氣管分泌增加、腹部疼痛和腹瀉","C",null,[],"本題考點在於重症肌無力膽鹼激性危象(cholinergic crisis)的臨床表現,要求選出錯誤敘述。膽鹼激性危象源於抗膽鹼酯酶藥(Mestinon)過量,乙醯膽鹼堆積過度刺激副交感神經,故表現為瞳孔縮小、分泌物增多、腹瀉、心搏過緩與低血壓;C 敘述「血壓上升、心搏過速」屬交感興奮方向,與副交感過度激活相反,故錯誤為正解。A 正確,即 Mestinon 過量致接受器持續去極化而失效;B 正確,瞳孔收縮與視力模糊為毒蕈鹼作用;D 正確,支氣管分泌增加、腹痛腹瀉皆為膽鹼過量表現。本題為反向題,屬藥理危象辨識題。",1,[24,28,31,34,38,42],{"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":11,"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":10,"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？",{"webId":35,"stem":36,"number":37,"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":39,"stem":40,"number":41,"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":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？",6,1783840783469]