[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-030":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-030","nurse-108-2-medical-surgical-030",108,2,30,"有關惡性貧血病人特徵之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"紅血球數目減少","紅血球外觀小且形狀不規則","膽紅素上升","舌炎、皮膚發黃","B",null,[],"本題考點是惡性貧血(pernicious anemia)的血液學特徵並找出錯誤者。惡性貧血源於內在因子缺乏致維生素 B₁₂ 吸收不良,屬巨球性貧血,紅血球體積大(MCV 增高)。B 敘述「紅血球外觀小且形狀不規則」是缺鐵性小球性貧血的特徵,與惡性貧血相反,故選 B 為錯誤。A 紅血球數目減少,符合貧血,正確。C 因無效造血與紅血球易破壞,間接膽紅素上升,正確。D 舌炎(牛肉樣舌)、皮膚泛黃是 B₁₂ 缺乏典型表現,正確。考點在於辨識巨球性與小球性貧血的紅血球形態差異。","分型記憶:MCV↑=巨球性(B₁₂\u002F葉酸缺乏、惡性貧血),MCV↓=小球性(缺鐵、地中海型)。惡性貧血除血液表現外,B₁₂ 缺乏會侵犯脊髓後索與側索,出現麻木、本體感覺與步態異常等神經症狀,是與單純葉酸缺乏的重要區別。可連結:內在因子、維生素 B₁₂ 吸收、巨球性貧血、Schilling 試驗、亞急性合併退化。",[24,27,30,32],{"term":25,"count":26},"惡性貧血",4,{"term":28,"count":29},"巨球性紅血球",1,{"term":31,"count":29},"維生素 B12 缺乏",{"term":33,"count":29},"小球性貧血對比",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-031","有關干擾素治療之敘述，下列何者正確？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-medical-surgical-047","愛滋病病人感染肺囊蟲肺炎之初期主要症狀，下列何者正確？",47,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-061","有關壓力性尿失禁的治療與照護，下列何者錯誤？",61,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-medical-surgical-019","王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",19,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-medical-surgical-063","有關抗利尿激素分泌不當症候群（SIADH）病人之臨床表徵，下列何者錯誤？",63,112,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-113-1-medical-surgical-047","有關休克病人體溫下降之護理措施，下列何者正確？",113,"2026-09-04",1788510706439]