[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-109-1-內外科護理學-017","nurse-109-1-medical-surgical-017",109,1,17,"有關退化性關節炎的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常合併乾燥症","不會影響身體的其他系統","出現血管炎，如腳趾壞死或小腿潰瘍","出現倦怠、發燒、貧血","B",null,[],"本題考點在於退化性關節炎（骨性關節炎，OA）與全身性發炎疾病的區辨。OA為關節軟骨長期磨損退化所致的局部關節疾病，屬非發炎性、不侵犯其他器官系統，故選項B「不會影響身體其他系統」正確，應選B。選項A乾燥症（乾眼、口乾）為修格連氏症候群或類風濕性關節炎等自體免疫病表現，非OA；選項C血管炎導致腳趾壞死、小腿潰瘍屬全身性血管炎或RA的系統性表現；選項D倦怠、發燒、貧血屬全身性發炎（如RA）的系統症狀。OA無全身性發炎特徵，故只影響局部關節。","OA與RA對比是常考重點：OA是「磨損退化、局部、晨僵短（\u003C30分鐘）、活動後加重、遠端指間關節Heberden結節」；RA是「自體免疫、對稱性、晨僵長（>1小時）、全身症狀、影響近端指間關節與掌指關節」。OA的X光可見關節間隙變窄、骨刺、軟骨下硬化；發炎指標（ESR、CRP）多正常，正呼應本題無全身影響。",[24,27,29,31],{"term":25,"count":26},"退化性關節炎OA",2,{"term":28,"count":10},"非發炎性關節病",{"term":30,"count":10},"局部軟骨磨損",{"term":32,"count":10},"OA與RA區辨",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-018","有關脂肪栓塞症之症狀和徵象，下列何者正確？①呼吸急促 ②意識混亂 ③排尿增加 ④體溫上升",18,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-034","心衰竭病人之心電圖持續出現明顯 U 波，在給予藥物時，應注意下列何種藥物可能有中毒的危險？",34,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-048","有關愛滋病檢驗的敘述，下列何者正確？",48,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-006","有關巴金森氏症病人的臨床表徵，下列何者錯誤？",6,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現營養少於身體需要時之護理措施，下列何者錯誤？",50,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-014","有關後天免疫缺乏症候群（AIDS）之敘述，下列何者錯誤？",14,113,3,"2026-09-04",1788510712455]