[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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":10},"nurse-106-2-內外科護理學-049","nurse-106-2-medical-surgical-049",106,2,49,"有關全身性紅斑性狼瘡的診斷檢查結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抗 DNA 抗體升高","抗核抗體（ANA）效價大於 80","紅血球沉降率（ESR）降低","C3 和 C4 補體下降","C",null,[],"本題考點為全身性紅斑性狼瘡(SLE)的診斷檢驗判讀。SLE 屬活動性自體免疫發炎疾病,發炎指標紅血球沉降率(ESR)在活動期應為『升高』而非降低,故 C『ESR 降低』與病理相反,為錯誤選項,選 C。A 抗雙股 DNA 抗體(anti-dsDNA)升高,具高專一性且與疾病活動度相關,正確;B 抗核抗體(ANA)高效價陽性是 SLE 篩檢敏感指標,正確;D 因免疫複合體大量消耗補體,C3、C4 下降反映疾病活動,正確。故選 C。","SLE 抗體判讀:ANA 敏感度高(篩檢用、陰性幾可排除)、anti-dsDNA 與 anti-Sm 專一度高(確診與追蹤活動度)。活動期特徵『補體↓+anti-dsDNA↑+ESR↑』三者同向指向疾病惡化。ESR 是非特異發炎指標,活動性發炎必升高,選項設『降低』即為送分陷阱。口訣:『狼瘡發作——補體掉、DNA 抗體升、血沉飆』。",[24,26,28,31,33],{"term":25,"count":10},"全身性紅斑性狼瘡(SLE)",{"term":27,"count":10},"抗核抗體(ANA)",{"term":29,"count":30},"anti-dsDNA 抗體",1,{"term":32,"count":30},"補體 C3\u002FC4 消耗",{"term":34,"count":30},"紅血球沉降率(ESR)",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-050","下列何者為確診病人有無肺結核感染最準確的方式？",50,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-107-1-medical-surgical-066","慢性腎臟病（CKD）病人之抽血檢查結果：GFR: 20c.c.\u002Fmin\u002F1.73m 2 、serum Creatinine: 8.0 mg\u002FdL，依此結果，病人是處於 CKD 的第幾期？",66,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-medical-surgical-080","有關血中賀爾蒙於休克代償機轉中之變化，下列何者錯誤？",80,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-109-1-medical-surgical-038","有關食道靜脈曲張藥物治療之敘述，下列何者錯誤？",38,109,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-110-2-medical-surgical-002","有關 S2～S4 完全性脊髓損傷後排尿功能之敘述，下列何者正確？",110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-medical-surgical-036","有關癌症疼痛三階梯止痛療法的敘述，下列何者正確？",36,111,"2026-09-04",1788510698712]