[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-2-基礎醫學-010","nurse-115-2-basic-medicine-010",115,2,10,"當肱骨骨折使手腕無法伸展，導致垂腕，最可能是傷到何神經？",{"A":15,"B":16,"C":17,"D":18},"肌皮神經","正中神經","橈神經","尺神經","C",null,[],"本題考點是上肢周邊神經損傷的定位診斷。橈神經沿肱骨後方的橈神經溝下行,支配前臂後側的伸腕與伸指肌群;肱骨中段骨折最易壓迫或撕裂此段神經,造成伸腕、伸指無力而呈現垂腕(wrist drop),故選 C。A 肌皮神經支配肱二頭肌等屈肘肌群,受損表現為屈肘無力與前臂外側感覺異常。B 正中神經受損典型為拇指對掌與屈指困難、形成猿手,常見於腕隧道或肱骨遠端內側損傷。D 尺神經受損表現為爪形手與第四、五指感覺喪失,常見於肱骨內上髁處受傷。","上肢三大神經的損傷手勢可整理成對比表:橈神經=垂腕(伸不起來)、正中神經=猿手(拇指無法對掌)、尺神經=爪形手(第四五指伸不直)。橈神經與肱骨橈神經溝貼合的解剖關係,也解釋了兩個非骨折情境的壓迫傷:腋杖使用不當壓迫腋下段,以及手臂長時間懸掛在椅背或他人枕在手臂上造成的「星期六夜麻痺」。復健期常以副木維持腕關節功能位以防肌腱縮短。延伸可連結周邊神經損傷的感覺分布圖與肌力分級評估。",[25,26,28,31],{"term":17,"count":11},{"term":27,"count":11},"垂腕",{"term":29,"count":30},"肱骨骨折併發症",1,{"term":32,"count":30},"上肢周邊神經定位",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-2-basic-medicine-011","泛素（ubiquitin）最主要的功能為何？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-106-1-basic-medicine-057","下列有關新型抗凝血藥物 Argatroban 的敘述，何者正確？",57,106,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-106-2-basic-medicine-071","下列何者不是腸內桿菌的抗原？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-108-1-basic-medicine-029","下列有關心臟的敘述，何者正確？",29,108,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-109-1-basic-medicine-073","下列何者不是病毒外套膜（envelope）的特性？",73,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-basic-medicine-027","有關體內維持酸鹼平衡的敘述，下列何者錯誤？",27,110,"2026-08-06",1787299017435]