[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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,"explanationDeep":22,"topics":23,"freq":25},"nurse-106-1-內外科護理學-048","nurse-106-1-medical-surgical-048",106,1,48,"病人手部有尺側偏斜及近端指關節過度伸展變形，下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"骨性關節炎","骨質疏鬆症","類風濕性關節炎","痛風性關節炎","C",null,[],"本題考點為類風濕性關節炎（RA）的特徵性關節變形。RA屬慢性自體免疫發炎，侵犯滑膜對稱性多關節，晚期出現手部尺側偏斜、近端指間關節過度伸展（天鵝頸變形）等典型畸形，C正確。A骨性關節炎以負重關節退化、Heberden's結節（遠端指節）為主；B骨質疏鬆症無關節變形；D痛風性關節炎以尿酸結晶沉積、痛風石與急性單關節紅腫熱痛為主，皆不符，故選C。","RA典型手變形：尺側偏斜、天鵝頸（近端過伸遠端屈曲）、鈕釦樣（boutonnière）畸形；侵犯近端指間與掌指關節、對稱、晨僵>1小時。對比骨關節炎侵犯遠端指間（Heberden's結節）、非對稱、活動後痛。RA血清可見RF與anti-CCP。",[24,26,29,32,34],{"term":16,"count":25},10,{"term":27,"count":28},"自體免疫",4,{"term":30,"count":31},"尺側偏斜",2,{"term":33,"count":10},"天鵝頸變形",{"term":35,"count":10},"對稱性多關節炎",[37,41,45,50,55,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-1-medical-surgical-049","有關全身性紅斑性狼瘡女性病人，於類固醇藥物治療後症狀緩解已 1 年之護理指導，下列何者錯誤？",49,{"webId":42,"stem":43,"number":44,"year":9,"session":31},"nurse-106-2-medical-surgical-065","有關甲狀腺機能亢進病人服用碘製劑之注意事項，下列何者正確？",65,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-medical-surgical-079","下列何者為預防傳染病與減輕傳染病傷害最有效的方法？",79,107,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-108-2-medical-surgical-037","有關癌症初級預防之敘述，下列何者錯誤？",37,108,{"webId":56,"stem":57,"number":10,"year":58,"session":10},"nurse-110-1-medical-surgical-001","有關重積性癲癇的敘述，下列何者正確？",110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-035","有關缺鐵性貧血病人的護理措施，下列何者正確？①教導病人使用吸管吸食液態鐵劑 ②鼓勵病人飯後服用鐵劑以增加鐵的吸收 ③鼓勵病人多攝取富含維生素 C 的食物 ④注射鐵劑後應避免立即拔出針頭",35,111,"2026-09-04",1788510693125]