[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-034","nurse-108-2-medical-surgical-034",108,2,34,"有關多發性骨髓瘤的臨床症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"骨痛","腎功能不全","腹瀉","貧血","C",null,[],"本題考點是多發性骨髓瘤(multiple myeloma)的典型臨床表現,找出不符者。依其病生理,漿細胞惡性增生會造成溶骨性病變致骨痛與高鈣、單株蛋白與輕鏈沈積致腎功能不全、骨髓被取代致貧血,故 A 骨痛、B 腎功能不全、D 貧血皆為典型。C 腹瀉並非多發性骨髓瘤的常見症狀,與其病理不符,故選 C 為錯誤。考點在於掌握 CRAB 四大特徵以排除非典型的腹瀉。","記憶用 CRAB:C=高鈣(hyperCalcemia)、R=腎功能不全(Renal)、A=貧血(Anemia)、B=骨病變(Bone lesions)。溶骨破壞釋出鈣,加上異常球蛋白使血液黏稠、腎小管受損。診斷常見骨 X 光穿鑿樣缺損、血\u002F尿中 M 蛋白、本瓊斯蛋白。可連結:漿細胞、單株免疫球蛋白、高鈣血症、病理性骨折、腎病變。",[24,27,30,32],{"term":25,"count":26},"多發性骨髓瘤",4,{"term":28,"count":29},"CRAB 四特徵",1,{"term":31,"count":29},"溶骨性病變",{"term":15,"count":29},[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-035","有關急性骨髓性白血病病人在接受異體骨髓移植後 3 週，出現全身紅疹與腹瀉症狀，下列敘述何者錯誤？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":29},"nurse-109-1-medical-surgical-051","有關慢性阻塞性肺疾病（COPD）的病人使用噘嘴式呼吸的目的，下列何者正確？",51,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-065","腎臟肌酸酐清除率（CCr）正常值範圍是多少 mL\u002Fmin？",65,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-111-1-medical-surgical-023","有關中耳炎手術病人之術後護理指導，下列何者錯誤？",23,111,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-112-1-medical-surgical-067","有關造成糖尿病病人血糖過低之促因，下列何者正確？",67,112,{"webId":58,"stem":59,"number":29,"year":60,"session":10},"nurse-113-2-medical-surgical-001","腦瘤病人接受放射線治療，下列敘述何者正確？①臨床上常用 I 125 經由立體定位手術直接植入腫瘤進行治療 ②可以在手術後立即合併使用放射線治療，以促進治療效果 ③手術後通常以單次大劑量放射線治療為主 ④可以與化學療法合併使用，適用於惡性腦瘤和轉移癌之治療",113,"2026-09-04",1788510706470]