[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-017":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-017","nurse-113-3-medical-surgical-017",113,3,17,"一位 74 歲男性，因胸痛數次到醫院檢查，檢驗報告 LDH1\u002FLDH2＞1；CK-MB 460 U\u002FL；Troponin I 15.0 ng\u002FmL； K + 3.0 mEq\u002FdL，有關其檢驗報告的判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"LDH1\u002FLDH2＞1 表示無心肌細胞受損","Troponin I 15.0 ng\u002FmL 表示心肌細胞受損","CK-MB 在正常範圍表示心肌細胞未受損","有高血鉀，會因心肌再極化時間延長導致心律不整","B",null,[],"本題考點在於心肌梗塞相關心臟酵素與電解質的判讀。Troponin I 是心肌損傷最專一、最敏感的指標,15.0 ng\u002FmL 遠超正常(通常\u003C0.04 ng\u002FmL),明確表示心肌細胞受損,故 B 正確。A 錯在 LDH1\u002FLDH2>1(LDH flip)反而是心肌受損指標,並非「無受損」;C 錯在題中 CK-MB 460 U\u002FL 已遠高於正常,顯示心肌受損,且敘述前提「CK-MB 在正常範圍」與數值不符;D 錯在此 K⁺ 3.0 mEq 屬低血鉀而非高血鉀,且低血鉀才易致心律不整,敘述方向與數值皆錯。本題屬心臟生化指標判讀題。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"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":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？",6,1783840783625]