[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-107-2-內外科護理學-010","nurse-107-2-medical-surgical-010",107,2,10,"與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","②④⑤","③④⑤","B",null,[],"本題考點是幽門螺旋桿菌(H. pylori)相關的胃部疾病。H. pylori 感染與②B 型慢性胃炎、③消化性潰瘍、④急性胃炎關係密切,故選 B(②③④)。①A 型慢性胃炎屬自體免疫性,由抗壁細胞抗體攻擊胃體壁細胞,導致胃酸與內在因子缺乏、惡性貧血,與 H. pylori 無關,故①不成立。⑤胃食道逆流(GERD)主因下食道括約肌鬆弛與胃酸逆流,與 H. pylori 無直接因果,亦不列入。B 型慢性胃炎好發於胃竇、③消化性(胃與十二指腸)潰瘍及④急性胃炎皆為 H. pylori 的重要致病關聯,故正確組合為②③④。","慢性胃炎 A、B 型對比記憶:A 型=Autoimmune=胃體(body)、抗壁細胞抗體、惡性貧血;B 型=Bacteria(H. pylori)=胃竇(antrum),最常見。H. pylori 能分泌尿素酶中和胃酸而定殖,破壞黏膜屏障,是消化性潰瘍(尤十二指腸潰瘍)與胃腺癌、MALT 淋巴瘤的危險因子。診斷可用尿素呼氣試驗、糞便抗原或內視鏡切片;治療採三合一(PPI+兩種抗生素)。",[24,27,30,33],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":28,"count":29},"消化性潰瘍",5,{"term":31,"count":32},"B型慢性胃炎",1,{"term":34,"count":32},"A型自體免疫性胃炎",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-medical-surgical-011","有關胃食道逆流的臨床表徵，下列何者最不常見？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-108-1-medical-surgical-027","有關心律不整藥物之敘述，下列何者正確？",27,108,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-108-2-medical-surgical-041","有關燒傷病人給與靜脈滴注「H 2 受體阻斷劑」類藥物（如 tagamet）之目的，下列何者正確？",41,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-medical-surgical-079","有關有機磷農藥之敘述，下列何者錯誤？",79,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-111-1-medical-surgical-043","有關前列腺癌之敘述，下列何者正確？",43,111,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-medical-surgical-077","下列何類休克有皮膚潮紅、溫暖的臨床徵象？①低血容性 ②敗血性 ③心因性 ④神經性",77,112,"2026-09-04",1788510724982]