[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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":25},"nurse-108-2-內外科護理學-013","nurse-108-2-medical-surgical-013",108,2,13,"病人主訴「左上腹疼痛，吃了東西後 1 小時更痛」，下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"胃食道逆流","慢性胃炎","胃潰瘍","十二指腸潰瘍","C",null,[],"本題考點是消化性潰瘍依疼痛與進食關係的鑑別診斷。依胃潰瘍的典型表現為「進食後疼痛加劇」，因食物刺激胃酸分泌直接作用於胃壁潰瘍面，病人吃東西後 1 小時更痛符合此特徵，故選 C。選項 D 十二指腸潰瘍恰相反，多為「空腹或飢餓時痛、進食後緩解」，與題幹不符；選項 A 胃食道逆流以火燒心、平躺或彎腰後加重為主，非進食後定時疼痛；選項 B 慢性胃炎症狀較不具此「進食後 1 小時規律加劇」的特徵。考點在於辨識胃潰瘍與十二指腸潰瘍疼痛時序的差異。","消化性潰瘍鑑別的黃金對比在疼痛與進食的時間關係：胃潰瘍『吃了更痛』（食物刺激胃酸接觸潰瘍面，餐後半小時至一小時痛，病人可能懼食而體重下降）；十二指腸潰瘍『餓了才痛、吃了緩解』（空腹胃酸刺激，常半夜痛醒，進食或制酸劑後改善）。記憶口訣：胃潰瘍『食入痛』、十二指腸潰瘍『飢餓痛』。可連結幽門螺旋桿菌（H. pylori）與非類固醇抗發炎藥（NSAID）為兩大成因，以及並發症穿孔、出血、幽門阻塞。",[24,26,28,30],{"term":16,"count":25},5,{"term":27,"count":10},"十二指腸潰瘍飢餓痛",{"term":29,"count":10},"消化性潰瘍鑑別",{"term":31,"count":32},"進食後疼痛加劇",1,[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-109-1-medical-surgical-030","有關二尖瓣閉鎖不全或逆流所產生之心雜音，在心動周期出現的時間，下列何者正確？",30,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-044","有關皮膚系統附屬物之敘述，下列何者錯誤？",44,{"webId":48,"stem":49,"number":10,"year":50,"session":32},"nurse-111-1-medical-surgical-002","有關病人已出現顱內壓升高的護理處置，下列敘述何者錯誤？",111,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-112-1-medical-surgical-046","有關膠帶等黏性產品使用之敘述，下列何者正確？",46,112,{"webId":57,"stem":58,"number":41,"year":59,"session":32},"nurse-113-1-medical-surgical-030","有關鞏皮症臨床表徵之敘述，下列何者錯誤？",113,"2026-09-04",1788510706293]