[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":11},"nurse-107-1-內外科護理學-007","nurse-107-1-medical-surgical-007",107,1,7,"有關多發性硬化症的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"中樞神經系統髓鞘脫失所引起","感染會使病人從緩解期進展到惡化期","可能與自體免疫有關","使用類固醇可以治癒","D",null,[],"本題考點是多發性硬化症(MS)的病理與治療。依 MS 為中樞神經髓鞘反覆脫失的自體免疫性疾病，病程呈緩解與惡化交替，目前無根治方法，類固醇僅能縮短急性發作、加速緩解，無法治癒，故D「使用類固醇可以治癒」為錯誤敘述而選D。A中樞神經髓鞘脫失、C與自體免疫有關均為 MS 基本病理，正確;B感染、發燒、壓力等可誘發復發使病人由緩解轉惡化，亦符合臨床，故非錯誤。","MS 攻擊的是中樞(腦與脊髓)的寡突膠細胞髓鞘,與周邊神經的 Guillain-Barré(攻擊許旺氏細胞)不同。典型徵象:視神經炎、複視、Lhermitte 徵象、感覺異常、尿失禁,體溫上升會暫時惡化神經傳導稱 Uhthoff 現象——這也解釋了為何感染發燒會使症狀加劇。治療分兩軸:急性發作用高劑量類固醇,長期用疾病修飾藥物(如 interferon-β、glatiramer)降低復發率,但都非治癒。記憶:MS 是「時間與空間上多發」的去髓鞘疾病。",[24,26,29,31],{"term":25,"count":11},"多發性硬化症",{"term":27,"count":28},"自體免疫疾病",3,{"term":30,"count":10},"中樞神經髓鞘脫失",{"term":32,"count":10},"類固醇緩解急性發作",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-008","Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",8,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-024","鼻咽癌病人接受放射線治療的護理措施，下列何者錯誤？",24,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-038","有關良性腫瘤的特徵，下列何者錯誤？",38,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-medical-surgical-076","乳癌病人接受化學治療效果不佳，病人主訴：「我希望能活到女兒結婚有個依靠，我就可以放心離開，就讓我活到那時候吧！」請問病人是處於 Kubler-Ross 心理反應的那一階段？",76,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-medical-surgical-040","有關瀕死病人護理的敘述，下列何者正確？①出現瀕死前的嘎嘎聲是因為喉嚨有痰，要給予抽痰 ②肛門附近周圍皮膚傷口可使用氧化鋅 ③要鼓勵病人進食，以增加舒適感 ④瀕死病人對刺激無反應時，其聽力也會喪失 ⑤意識不清病人宜採側臥，以利分泌物流出",40,110,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-111-2-medical-surgical-074","有關糖化血色素的敘述，下列何者正確？",74,111,"2026-09-04",1788510702484]