[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-014":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-014","nurse-115-2-basic-medicine-014",115,2,14,"某病人接受頸部手術後，抱怨手術後食慾不佳、便秘症狀。上述症狀最可能是因為那一條神經受損所造成？",{"A":15,"B":16,"C":17,"D":18},"三叉神經","迷走神經","舌下神經","副神經","B",null,[],"本題考點是腦神經受損後對應的自律神經症狀。迷走神經(第十對腦神經)經頸部的頸動脈鞘下行,是消化道副交感神經的主要來源,支配胃腸蠕動與消化液分泌;頸部手術若傷及此神經,胃腸蠕動變慢、胃酸與消化酵素分泌減少,即出現食慾不佳與便秘,故選 B。A 三叉神經負責顏面感覺與咀嚼肌運動,受損為顏面麻木與咀嚼無力。C 舌下神經支配舌肌,受損表現為舌頭偏斜、攪拌食團與講話困難。D 副神經支配斜方肌與胸鎖乳突肌,受損為聳肩與轉頭無力。","迷走神經走頸動脈鞘、又是十二對腦神經中行程最長者,所以頸部手術(甲狀腺、副甲狀腺、頸動脈內膜剝離、頸椎前位手術)都可能傷到它或其分支。分支症狀對照:喉返神經受損→聲音沙啞、嗆咳;主幹受損→心跳偏快(失去副交感煞車)、胃腸蠕動下降。記憶口訣:「迷走管的是胸腹,一條神經從喉嚨管到大腸」。延伸可連結迷走神經反射造成的心跳過慢與暈厥、以及術後腸蠕動評估。",[25,26,29,31],{"term":16,"count":11},{"term":27,"count":28},"副交感神經對消化道作用",1,{"term":30,"count":28},"頸動脈鞘",{"term":32,"count":28},"腦神經症狀對應",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-2-basic-medicine-015","當血糖濃度高於正常範圍時，一般會產生下列何種調節反應？",15,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-basic-medicine-061","Ondansetron 之臨床適應症為：",61,106,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-106-2-basic-medicine-075","目前那一型肝炎，可使用疫苗有效預防嬰兒被母親感染肝炎？",75,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-basic-medicine-033","鏈球菌感染後腎小球腎炎（post-streptoccocal glomerulonephritis）是屬於那一型過敏反應（hypersensitivity reaction）？",33,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-basic-medicine-077","在後口腔內的黏膜上出現柯氏斑點（Koplik spots），是何種病毒感染的前驅症狀？",77,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-basic-medicine-031","有關腸道中脂解酶（lipase）的敘述，下列何者正確？",31,110,"2026-08-06",1787299017492]