[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-114-3-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-114-3-內外科護理學-002","nurse-114-3-medical-surgical-002",114,3,2,"62 歲王女士，因在家突然四肢無力至急診，意識清楚，但四肢癱瘓、不能言語，可依指示轉動眼球和眨眼，下列那一部分功能最可能受損？",{"A":14,"B":15,"C":16,"D":17},"橋腦","脊髓","大腦廣泛性傷害","右側小腦","A",null,[],"本題考點在於閉鎖症候群(locked-in syndrome)的定位。考點在於症狀組合:病人意識清楚、四肢癱瘓、無法言語,但能依指示轉動眼球與眨眼,顯示皮質功能與垂直眼動保留,而運動下行徑路中斷,病灶最可能位於橋腦(pons)腹側,故選 A。B 脊髓損傷不會單獨造成無法言語且保留眼球活動的此種組合。C 大腦廣泛性傷害會使意識喪失,與病人意識清楚不符。D 右側小腦受損主要造成同側協調障礙與共濟失調,不會導致四肢癱瘓合併保留眼動的表現。因此定位在橋腦最相符。",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？",6,1783840784867]