[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-035":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":10},"nurse-108-2-內外科護理學-035","nurse-108-2-medical-surgical-035",108,2,35,"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？",{"A":14,"B":15,"C":16,"D":17},"應注意肝功能異常與血中膽紅素上升","可進行皮膚切片以確定問題","皮膚同時可能會出現斑丘疹","顯示為嚴重藥物過敏","D",null,[],"本題考點是異體骨髓移植後出現的移植物抗宿主疾病(GVHD)辨識,找出錯誤敘述。依病生理,移植後數週出現全身紅疹、腹瀉合併肝功能異常,是急性 GVHD 侵犯皮膚、腸道與肝臟的典型表現,故 A(肝功能與膽紅素上升)、B(皮膚切片確診)、C(斑丘疹)皆為正確。D 稱「顯示為嚴重藥物過敏」誤判了病因,此臨床表現應高度懷疑 GVHD 而非藥物過敏,故選 D 為錯誤。考點在於區辨移植後皮膚腸道肝臟三器官症狀的真正病因。","急性 GVHD 三大標靶器官:皮膚(斑丘疹、紅皮症)、腸道(水瀉、腹痛)、肝臟(膽紅素上升、肝功能異常),多發生於移植後 100 天內。源於捐者 T 淋巴球攻擊受者組織,皮膚切片可協助分級。治療以免疫抑制(類固醇等)為主。可連結:移植物抗宿主疾病、異體移植、T 淋巴球、免疫抑制治療、皮膚切片分級。",[24,26,29,31],{"term":25,"count":10},"異體骨髓移植",{"term":27,"count":28},"移植物抗宿主疾病 GVHD",1,{"term":30,"count":28},"皮膚腸道肝臟受侵",{"term":32,"count":28},"皮膚切片",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-036","有關乳癌轉移壓迫脊髓最常見之部位，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-medical-surgical-052","外傷性肋骨骨折病人可能出現之徵候與症狀，下列何者正確？",52,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-066","有關腎臟所製造荷爾蒙的生理功能，下列何者正確？",66,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-medical-surgical-024","下列腫瘤何者源自結締組織？",24,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-medical-surgical-068","一位 18 歲女性主訴最近發現全身皮膚起紅疹、口腔潰瘍、關節疼痛、偶有頭痛，另血紅素及血小板降低、抗核抗體升高，下列何者為其最可能之診斷？",68,112,{"webId":58,"stem":59,"number":10,"year":60,"session":10},"nurse-113-2-medical-surgical-002","有關顱底骨骨折病人有耳漏、鼻漏的評估與及處置，下列敘述何者錯誤？",113,"2026-09-04",1788510706474]