[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-043","nurse-107-2-medical-surgical-043",107,2,43,"有關惡性貧血之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"觀察病人是否出現手足針刺麻木感或運動協調能力變差","一般會出現蒼白、呼吸困難或心悸的症狀","可採用費城染色體檢查以確定診斷","病人需終生肌肉注射維生素 B 12","C",null,[],"本題考點是惡性貧血的病生理與診斷。惡性貧血是缺乏內在因子致維生素 B12 吸收不良的貧血,診斷靠 Schilling test 或 B12 濃度,而費城染色體是慢性骨髓性白血病(CML)的標記,與惡性貧血無關,故錯誤選 C。(A)B12 缺乏影響神經髓鞘,出現手足麻木、協調變差,正確;(B)貧血共通症狀有蒼白、呼吸困難、心悸,正確;(D)因無法由腸道吸收,需終生肌肉注射 B12,正確。","惡性貧血(pernicious anemia)為胃壁細胞萎縮或自體免疫致內在因子缺乏,使 B12 吸收不良而形成巨球性貧血合併神經症狀(脊髓後索與側索退化,肢端麻木、步態不穩)。費城染色體 t(9;22) 專屬 CML。B12 需內在因子在迴腸末端吸收,故切胃或惡性貧血者須終生肌肉注射補充。",[24,27,30,33],{"term":25,"count":26},"內在因子",5,{"term":28,"count":29},"惡性貧血",4,{"term":31,"count":32},"維生素B12",3,{"term":34,"count":32},"費城染色體",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-medical-surgical-044","有關腫瘤溶解症候群之敘述，下列何者正確？①高血鉀症 ②高血鈣症 ③要補充大量水分 ④使用 kayexalate 可降低鈉離子 ⑤allopurinol 可降尿酸",44,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-108-1-medical-surgical-060","膀胱癌的初期臨床表徵，下列何者正確？",60,108,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-108-2-medical-surgical-074","有關水分剝削試驗（Water Deprivation Test）之敘述，下列何者錯誤？",74,{"webId":51,"stem":52,"number":53,"year":54,"session":45},"nurse-110-1-medical-surgical-032","有關心臟血管系統的診斷檢查結果，下列敘述何者正確？",32,110,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-111-1-medical-surgical-076","下列何者不是休克時會發生之代償機轉？",76,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-medical-surgical-030","有關血管產生動脈粥狀硬化（atherosclerosis）的病理機轉，下列敘述何者錯誤？",30,112,"2026-09-04",1788510725281]