[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-080","nurse-108-2-medical-surgical-080",108,2,80,"有關嚴重急性呼吸道症候群（SARS）之臨床症狀，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"肌肉痛","發病期常見肺部鈣化合併胸部 X 光異常","發病後 3～7 天即進入下呼吸道期，出現沒有痰的乾咳或血氧過低","在早期肌酸磷酸激酶（CPK）與肝轉胺酶（hepatic transaminase）會升高","B",null,[],"本題考點為嚴重急性呼吸道症候群(SARS)的臨床症狀辨識，須找出不屬於者。SARS 的胸部 X 光變化以肺部浸潤(如毛玻璃樣或實變陰影)為主，並非以肺部「鈣化」為特徵，故「發病期常見肺部鈣化合併胸部 X 光異常」不包括在內，選 B。選項 A 正確，SARS 前驅期常見發燒、肌肉痠痛等全身症狀。選項 C 正確，發病後約 3～7 天進入下呼吸道期，出現乾咳、呼吸困難或血氧過低。選項 D 正確，早期實驗室可見肌酸磷酸激酶(CPK)與肝轉胺酶升高。故錯在把肺部鈣化列為 SARS 表現，鈣化多見於陳舊性病灶如結核癒後。","SARS 為冠狀病毒(SARS-CoV)引起:潛伏後前驅期發燒、寒顫、肌痛、倦怠,續進下呼吸道期乾咳、喘、低血氧,影像為進行性肺浸潤(毛玻璃、實變),實驗室見淋巴球下降、CPK 與肝酶上升。鈣化屬慢性癒合性病變(如肺結核、陳舊肉芽腫)特徵,與急性病毒性肺炎浸潤不同。判題抓「急性浸潤 vs 慢性鈣化」的影像鑑別。",[24,27,29,31,33],{"term":25,"count":26},"嚴重急性呼吸道症候群 SARS",1,{"term":28,"count":26},"肺部浸潤影像",{"term":30,"count":26},"下呼吸道期乾咳低血氧",{"term":32,"count":26},"CPK 與肝酶上升",{"term":34,"count":26},"鈣化屬慢性病變",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":26,"year":39,"session":26},"nurse-109-1-medical-surgical-001","有關脊髓休克（Spinal shock）的敘述，下列何者錯誤？",109,{"webId":41,"stem":42,"number":43,"year":39,"session":10},"nurse-109-2-medical-surgical-017","有關刺激胃液分泌的因素，下列何者正確？",17,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-110-1-medical-surgical-031","急性心肌梗塞的診斷檢查，下列何者最具專一性？",31,110,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-medical-surgical-069","有關黏液水腫昏迷之檢查結果，下列何者錯誤？",69,111,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-2-medical-surgical-033","有關急性移植物對抗宿主疾病（Graft-versus-host-Disease, GVHD）之敘述，下列何者正確？",33,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-medical-surgical-047","當一人施行心肺復甦術（CPR）時，下列何者應先施行 2 分鐘的急救後再求救？",47,113,"2026-09-04",1788510706864]