[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-2-內外科護理學-020","nurse-108-2-medical-surgical-020",108,2,20,"有關鼻咽癌之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"為上皮細胞癌","與遺傳有關","長期吸菸為致癌因子","血清 EB 病毒指數高","D",null,[],"本題考點是鼻咽癌的流行病學與致病因子。鼻咽癌多屬未分化上皮細胞癌（A正確），具明顯家族聚集與遺傳（HLA）傾向（B正確），且與EB病毒關係密切、血清EB病毒抗體（IgA）常升高，可作為篩檢與追蹤標記——就醫學實證而言，D其實為正確敘述。官方將D列為錯誤答案，此點須留意有爭議；相對地，鼻咽癌最主要的致癌因子為EB病毒、遺傳與醃漬食物中的亞硝胺，吸菸（C）並非其首要因子。本題以官方答案D為準，但因EB病毒與鼻咽癌的關聯明確、此敘述本身並無錯誤，故把握度標低，提醒考生此題敘述與答案存在矛盾。","鼻咽癌三大公認相關因子：EB病毒感染、遺傳／地域（華南、台灣較高）、飲食（醃漬食物之亞硝胺）。EB病毒的血清標記（IgA anti-VCA、anti-EA）與血漿EBV DNA是重要篩檢與治療追蹤工具，此為教科書共識，故選項D（血清EB病毒指數高）在醫學上為真。若嚴格依實證，本題較站得住腳的『錯誤』敘述應是吸菸為主要致癌因子（C）——吸菸與鼻咽癌的關聯遠弱於EB病毒／遺傳／亞硝胺。此題屬需重生的爭議題，作答時以官方答案為準，但理解上不應誤以為『鼻咽癌與EB病毒無關』。",[24,27,30,32],{"term":25,"count":26},"鼻咽癌",4,{"term":28,"count":29},"EB病毒血清標記(IgA)",1,{"term":31,"count":29},"遺傳與地域聚集",{"term":33,"count":29},"亞硝胺(醃漬食物)",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-021","有關喉癌的臨床表徵，下列何者正確？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-medical-surgical-037","有關癌症病人血鈣之敘述，下列何者錯誤？",37,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-051","下列何者不屬於第三型過敏性反應？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-medical-surgical-009","有關腸阻塞的臨床表徵，下列何者正確？①嘔吐 ②腹脹 ③腹部絞痛 ④腹瀉",9,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-medical-surgical-053","全球慢性阻塞性肺疾病倡議組織（Global Initiative for Chronic Obstructive Lung Disease, GOLD）將 COPD 嚴重度分為 GOLD 1～4 級，下列何者為分級依據？",53,112,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-113-1-medical-surgical-037","有關腎臟移植過程之敘述，下列何者錯誤？",113,"2026-09-04",1788510706348]