[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-020":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":26},"nurse-107-1-內外科護理學-020","nurse-107-1-medical-surgical-020",107,1,20,"有關骨質疏鬆症的臨床現象，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"骨質疏鬆症常因骨折後才被發現","駝背、身高減少是骨質疏鬆症的症狀","因骨質疏鬆症導致的背痛無法以休息緩解","泌尿道結石可能與骨質疏鬆症有關","C",null,[],"本題考點是骨質疏鬆症的臨床表現。依骨質疏鬆導致的背痛多因椎體壓迫或肌肉疲勞，通常臥床休息可獲緩解，與惡性腫瘤引起、休息無法改善的疼痛不同，故C「背痛無法以休息緩解」為錯誤而選C。A骨質疏鬆早期無症狀，常於發生脆弱性骨折後才被發現，正確;B椎體壓迫性骨折造成駝背與身高變矮，正確;D骨質流失使鈣自骨釋出經腎排出、增加高鈣尿而可能與泌尿道結石相關，正確。","骨質疏鬆被稱為「沉默的疾病」,骨量流失無感,常以三種脆弱性骨折現形:脊椎壓迫性骨折(駝背、身高變矮、背痛)、髖部骨折、腕部(Colles)骨折。診斷以雙能量 X 光吸收儀(DXA)測骨密度,T 值 ≦ -2.5 即診斷。與惡性骨轉移背痛的鑑別在於「休息可否緩解」:骨鬆的機械性痛休息減輕,惡性或發炎性痛則夜間加劇、休息不減。預防含足量鈣與維生素 D、負重運動、戒菸限酒與防跌。理解 D 選項:骨吸收釋鈣入血再由尿排出,故高鈣尿可致結石。",[24,27,29,31],{"term":25,"count":26},"骨質疏鬆症",5,{"term":28,"count":10},"椎體壓迫性骨折",{"term":30,"count":10},"休息可緩解的機械性背痛",{"term":32,"count":10},"高鈣尿與泌尿道結石",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-021","有關視網膜剝離時立即處理之敘述，下列何者錯誤？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-037","下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",37,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-051","有關膿胸病變發生之部位，下列何者正確？",51,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-medical-surgical-009","有關闌尾炎身體評估檢查的結果，下列何者正確？①墨菲氏徵象（Murphy’s sign） ②麥氏點（McBurney’s point）壓痛 ③普氏徵象（Psoas sign） ④閉孔肌徵象（obturator sign）",9,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-medical-surgical-053","接受胸腔放液後的病人，下列何者最需緊急處理？",53,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-007","進行意識評估，病人無法自動睜眼，叫喚才會睜開眼睛，人、地定向感清楚，但時間回答錯誤，能遵照指示做出正確的動作，其 GCS 昏迷量表，下列何者正確？",7,112,"2026-09-04",1788510702605]