[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-內外科護理學-019","nurse-109-1-medical-surgical-019",109,1,19,"王先生，55 歲，身體質量指數為 30 kg\u002Fm 2 ，紅血球沉降速率正常範圍，主訴早晨起來關節疼痛與僵硬，在活動幾分鐘後可緩解僵硬。下列何者為王先生最可能的診斷？",{"A":14,"B":15,"C":16,"D":17},"乾癬性關節炎（Psoriatic arthritis, PsA）","骨性關節炎（Osteoarthritis, OA）","類風濕性關節炎（Rheumatoid arthritis, RA）","痛風性關節炎（Gouty arthritis）","B",null,[],"本題考點在於依臨床線索鑑別退化性關節炎（OA）。王先生BMI 30屬肥胖（關節負重危險因子）、紅血球沉降速率（ESR）正常代表無全身性發炎、晨僵在活動數分鐘後即緩解（晨僵短暫，\u003C30分鐘），三項特徵均指向OA，故選B。選項C類風濕性關節炎晨僵常超過一小時且ESR上升；選項A乾癬性關節炎多合併皮膚乾癬病灶與指甲變化，題幹未提；選項D痛風性關節炎為急性單關節紅腫熱痛、常伴高尿酸，非晨僵緩解型。綜合肥胖、ESR正常與短暫晨僵，最符合骨性關節炎。","鑑別關鍵在「晨僵時間」與「發炎指標」：OA晨僵短（\u003C30分鐘）、活動後改善；RA晨僵長（>1小時）、活動未必改善且ESR\u002FCRP上升。肥胖是OA的可矯正危險因子，因增加膝髖負重加速軟骨磨損。此題典型設計成用BMI高、ESR正常、短晨僵三個鑑別點導向OA，屬臨床推理題。",[24,26,28,30],{"term":25,"count":10},"骨性關節炎OA",{"term":27,"count":10},"晨僵小於30分鐘",{"term":29,"count":10},"ESR正常",{"term":31,"count":10},"肥胖為負重危險因子",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-020","上石膏後 24 小時內病人的護理評估結果，下列何者應做立即處置？",20,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-036","依據安阿伯（Ann Arbor）臨床分期系統，下列何者屬於何杰金氏淋巴瘤第Ⅱ期？",36,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-050","有關類風濕性關節炎的醫療處置，下列敘述何者正確？",50,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-008","有關內視鏡椎間盤切除術的敘述，下列何者錯誤？",8,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-052","下列何者不是肺水腫病人之典型臨床表徵？",52,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-016","有關肥厚型心肌病變之病因，下列何者最正確？",16,113,3,"2026-09-04",1788510712464]