[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-042":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-108-1-內外科護理學-042","nurse-108-1-medical-surgical-042",108,1,42,"有關非何杰金氏淋巴瘤之治療，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"病人常接受低劑量類固醇","周邊血液幹細胞移植法不適用於復發病人","在化療後一個月取出病人骨髓，除去癌細胞後儲存","化療前接受 HB s Ag 篩檢，並使用 lamivudine，以防 B 型肝炎急性發作","D",null,[],"本題考點在於化療前的 B 型肝炎再活化預防。依免疫抑制原則，細胞毒性化療會壓制宿主免疫，使潛伏的 B 型肝炎病毒再活化甚至釀成猛爆性肝炎，故治療前應篩檢 HBsAg，陽性者預防性投與抗病毒藥 lamivudine，選 D。（A）錯在淋巴瘤化療多用 CHOP 方案中的高劑量類固醇，非低劑量。（B）錯在周邊血液幹細胞移植正是復發或高危險淋巴瘤的重要救援治療，並非不適用。（C）錯在自體幹細胞是於化療達緩解、骨髓恢復時採集純化後凍存，並非固定於化療後一個月，且採的是周邊血非骨髓。","B 肝再活化機轉：化療解除 T 細胞對感染肝細胞的免疫監控，病毒趁機大量複製；停藥後免疫回復時反而爆發免疫性肝損傷。故 lamivudine（核苷類反轉錄酶抑制劑）需在化療前先給並持續至療程結束後數月。記憶對比：自體移植是「取自己、需先淨化癌細胞、供高劑量化療後救援」；異體移植才有移植物抗宿主與抗腫瘤效應。連結概念：HBsAg／anti-HBc 篩檢、猛爆性肝炎、CHOP 方案、幹細胞救援。",[24,27,29,31,33],{"term":25,"count":26},"免疫抑制",2,{"term":28,"count":10},"B 型肝炎再活化",{"term":30,"count":10},"lamivudine 預防性抗病毒",{"term":32,"count":10},"HBsAg 篩檢",{"term":34,"count":10},"自體幹細胞移植",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-043","有關燒傷病人達到體液復甦目標之指標，下列何者正確？",43,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-108-2-medical-surgical-059","下列何項實驗室檢查結果最能顯示腎臟功能受損？",59,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-medical-surgical-073","孕婦發生呼吸道梗塞的情況時，下列何種處置最適當？",73,109,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-110-2-medical-surgical-031","有關心律不整的敘述，下列何者錯誤？",31,110,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-111-2-medical-surgical-075","下列何者在副甲狀腺功能低下病人會呈現陽性反應？",75,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-medical-surgical-029","病人因住宅火警遭燒傷，身體後背部、右後上肢、左後上肢及左右臀部燒傷，以蘭德—布諾得（Lund & Browder）方法計算燒傷範圍，下列何者正確？",29,112,3,"2026-09-04",1788510709866]