[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-030","nurse-107-1-medical-surgical-030",107,1,30,"有關胃潰瘍的臨床症狀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"右上腹疼痛","半夜、空腹時會發生疼痛","胃酸分泌量正常","解黑便情形較嘔血常見","C",null,[],"本題考點是胃潰瘍與十二指腸潰瘍的症狀鑑別。依胃潰瘍病人的胃酸分泌量多為正常甚至偏低，其潰瘍源於黏膜防禦力下降而非胃酸過多，故C「胃酸分泌量正常」正確。A疼痛多位於上腹或左上腹、進食後加劇，非右上腹，錯;B半夜與空腹時疼痛、進食後緩解是十二指腸潰瘍的特徵，非胃潰瘍，錯;D胃潰瘍以嘔血較常見，解黑便較常見者為十二指腸潰瘍，方向相反，故錯。","兩種消化性潰瘍的鑑別是高頻考點,關鍵在「進食與疼痛的時序」。胃潰瘍:痛在進食後約 0.5-1 小時(食物刺激已破損黏膜)、胃酸正常或偏低、體重常下降(怕吃)、嘔血較多、與胃癌相關性較高需追蹤。十二指腸潰瘍:痛在空腹與半夜(飢餓痛,胃酸直衝潰瘍面)、進食可緩解、胃酸偏高、體重可能增加、解黑便較常見。共同病因為幽門螺旋桿菌與 NSAID。口訣:胃潰瘍「食後痛、酸不高、易嘔血」;十二指腸潰瘍「餓時痛、吃就好、酸偏高、黑便多」。",[24,27,30,32],{"term":25,"count":26},"胃潰瘍",5,{"term":28,"count":29},"消化性潰瘍鑑別",2,{"term":31,"count":29},"十二指腸潰瘍飢餓痛",{"term":16,"count":10},[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-031","有關心動週期（Cardiac Cycle）之敘述，下列何者正確？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":29},"nurse-107-2-medical-surgical-047","有關不同燒傷深度的傷口癒合情形之敘述，下列何者錯誤？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-061","下列何者是男性較常出現的尿失禁型態？",61,108,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-109-2-medical-surgical-019","下列何者為退化性關節炎的高危險群？①BMI 35 kg\u002Fm 2 ②長期服用腎上腺皮質類固醇 ③重複性右膝受傷史 ④停經後婦女",19,109,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-110-2-medical-surgical-063","下列何者於檢查後，不會出現血尿情況？",63,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-017","有關骨折病人發生脂肪栓塞之敘述，下列何者錯誤？",17,112,"2026-09-04",1788510702696]