[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-033":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":25},"nurse-109-1-內外科護理學-033","nurse-109-1-medical-surgical-033",109,1,33,"病人的皮膚黏膜蒼白、舌頭發炎呈紅色平滑狀，指甲萎縮、變薄呈湯匙狀，可能罹患下列何種貧血？",{"A":14,"B":15,"C":16,"D":17},"葉酸缺乏性貧血","缺鐵性貧血","惡性貧血","再生不良性貧血","B",null,[],"本題考點在於依臨床表徵鑑別缺鐵性貧血。題幹描述皮膚黏膜蒼白、舌炎（紅色平滑舌）、指甲萎縮變薄呈「湯匙狀指甲（koilonychia，反甲）」，此組合是缺鐵性貧血的典型表現，故選B。選項A葉酸缺乏性貧血與選項C惡性貧血（維生素B12缺乏）屬巨球性貧血，惡性貧血另有神經症狀與舌炎但無湯匙甲；選項D再生不良性貧血以全血球減少、易出血感染為主，無反甲特徵。湯匙狀指甲為缺鐵的標誌性徵象，故選缺鐵性貧血。","缺鐵性貧血屬小球性低血色素貧血（MCV、MCH下降），血鐵蛋白（ferritin）低、總鐵結合力（TIBC）升高。特徵性表現：反甲（koilonychia）、舌炎、口角炎、異食癖。與巨球性貧血（葉酸\u002FB12缺乏，MCV升高）及再生不良性貧血（全血球低下）對比記憶。治療補充鐵劑宜配維生素C促吸收，並找出失血病因。",[24,26,29,31],{"term":15,"count":25},8,{"term":27,"count":28},"舌炎",2,{"term":30,"count":10},"湯匙狀指甲反甲",{"term":32,"count":10},"小球性低血色素",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-034","有關癌症手術治療特性之敘述，下列何者正確？",34,{"webId":39,"stem":40,"number":41,"year":9,"session":28},"nurse-109-2-medical-surgical-050","有關全身性紅斑性狼瘡之致病機轉，下列何者正確？",50,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-064","有關膀胱癌的診斷檢查與治療，下列何者錯誤？",64,110,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-2-medical-surgical-022","有關白內障的晶體乳化法手術的敘述，下列何者錯誤？",22,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-2-medical-surgical-066","黃女士的動脈血液氣體分析結果為完全代償性代謝性酸中毒，下列敘述何者正確？",66,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-030","有關類風濕性關節炎臨床表徵之敘述，下列何者錯誤？①症狀通常兩側對稱性地發生 ②活動後有僵硬的現象 ③通常侵犯大關節 ④可能造成腕隧道症候群",30,113,3,"2026-09-04",1788510712606]