[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-054","nurse-106-2-medical-surgical-054",106,2,54,"有關慢性支氣管炎的病理變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"杯狀細胞數目增加","纖毛上皮細胞數目減少","肺的回縮力量降低","缺氧導致右心衰竭","C",null,[],"本題考點為慢性支氣管炎的病理變化。慢性支氣管炎因長期慢性刺激,黏液腺與杯狀細胞增生、纖毛上皮受損脫落,痰多而清除力差,長期缺氧引發肺動脈高壓與右心衰竭(肺心病)。C『肺的回縮力量降低』屬肺氣腫(emphysema)因肺泡壁彈性纖維破壞所致,並非慢性支氣管炎的病理特徵,故為錯誤選項,選 C。A 杯狀細胞增加使黏液分泌增多,正確;B 纖毛上皮細胞減少使清除功能下降,正確;D 慢性缺氧致肺血管收縮、右心負荷增加而右心衰竭,正確。故選 C。","COPD 兩型對比:慢性支氣管炎(blue bloater)=杯狀細胞\u002F黏液腺增生、纖毛受損、痰多、發紺、右心衰竭;肺氣腫(pink puffer)=肺泡壁破壞、彈性回縮力↓、桶狀胸、喘。『回縮力降低』是肺氣腫的核心(彈性纖維喪失致空氣滯留),故放在慢性支氣管炎題即為錯誤。口訣:『支氣管炎多痰藍胖、肺氣腫喘瘦粉紅』。",[24,26,29,31,33],{"term":25,"count":10},"慢性支氣管炎",{"term":27,"count":28},"杯狀細胞增生",1,{"term":30,"count":28},"纖毛清除功能",{"term":32,"count":28},"肺氣腫彈性回縮力",{"term":34,"count":28},"肺心病(右心衰竭)",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-055","有關慢性阻塞性肺部疾病病人的飲食指導，下列何者錯誤？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-107-1-medical-surgical-071","有關嗜鉻細胞瘤典型之 5P 症狀，不包括下列何者？",71,107,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-108-1-medical-surgical-005","病人癲癇發作，意識不清的護理措施，下列何者正確？",5,108,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-109-1-medical-surgical-043","有關化學性灼傷的處置，下列何者錯誤？",43,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-007","下列何者為評估病人腦幹功能的檢查？",7,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-041","長期攝取低纖維或精緻飲食，可能與下列何種癌症的發生最有關？",41,111,"2026-09-04",1788510698757]