[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-028":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-028","nurse-107-1-medical-surgical-028",107,1,28,"有關風濕熱與風濕性心臟病之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"臨床表徵出現疼痛性的皮下結節，主要分布於骨突處及肌腱","臨床表徵出現二尖瓣損傷","可能與自體免疫有關，非細菌性炎症反應","喉頭培養出 A 群 β 型溶血性鏈球菌","A",null,[],"本題考點是風濕熱與風濕性心臟病的臨床特徵。依風濕熱的皮下結節為「無痛性」，質地堅硬且可活動，好發於骨突處與肌腱，故A「疼痛性的皮下結節」描述錯誤而選A。B風濕熱易侵犯心臟瓣膜、以二尖瓣損傷最常見，正確;C其為 A 群鏈球菌感染後的自體免疫反應、屬非細菌性發炎，正確;D發病前多可自喉頭培養出 A 群 β 型溶血性鏈球菌，符合致病機轉，正確。","風濕熱診斷用 Jones 準則,主要條件可記「JONES」:Joints(遊走性多關節炎)、心臟炎(♥,Carditis)、Nodules(無痛性皮下結節)、Erythema marginatum(邊緣性紅斑)、Sydenham 舞蹈症。它是 A 群 β 型溶血性鏈球菌咽喉炎後 2-3 週的自體免疫反應——抗鏈球菌抗體與心臟瓣膜、關節組織交叉反應(分子擬態),故關節液與結節皆無菌。心臟炎最具長期意義,反覆發作致二尖瓣狹窄等風濕性心臟病。本題陷阱在「無痛 vs 疼痛」:風濕熱結節無痛,與類風濕性關節炎的結節須區分。",[24,27,29,31],{"term":25,"count":26},"風濕熱",4,{"term":28,"count":10},"無痛性皮下結節",{"term":30,"count":10},"A 群 β 型溶血性鏈球菌",{"term":32,"count":10},"二尖瓣損傷與自體免疫",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-029","有關鼻咽癌病人接受頭頸部放射線照射時之皮膚護理指導，下列何者錯誤？",29,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-045","關於瀰漫性血管內凝血病人的敘述，下列何者代表護理師需要重新指導預防出血的方法？",45,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-059","下列何者不會出現少尿現象？",59,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-medical-surgical-017","有關刺激胃液分泌的因素，下列何者正確？",17,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-medical-surgical-061","有關急性腎絲球腎炎的敘述，下列何者錯誤？",61,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-015","有關口腔癌的敘述，下列何者錯誤？",15,112,"2026-09-04",1788510702687]