[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-077","nurse-109-1-medical-surgical-077",109,1,77,"乳癌病人手術後的病理報告：乳房惡性腫瘤為 3 公分，腋下有 2 顆淋巴結轉移。依癌症 TNM 分期，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"cT 2 N 1 M 0","cT 2 N 1 M x","pT 2 N 1 M 0","pT 2 N 1 M x","D",null,[],"本題考點在於乳癌 TNM 分期的字首與 M 分類判讀。腫瘤 3 公分屬 T2（＞2 且≦5 cm），腋下 2 顆淋巴結轉移屬 N1，且資料來自「手術後病理報告」，字首應冠 p（pathological 病理分期），而未提及遠端轉移評估結果，M 應標 Mx（無法評估），綜合為 pT2N1Mx，選 D。A、B 冠 c（clinical 臨床分期）與術後病理來源矛盾，故錯。C 之 M0 代表已確認無遠端轉移，但題幹未提供轉移檢查資料、不能逕判 M0，故錯。關鍵在區分 c\u002Fp 字首與 Mx、M0 差異。","TNM 中 c＝clinical（理學與影像的術前臨床分期），p＝pathological（手術切除標本病理確認）。M0 須有影像或臨床證據確認「無」遠端轉移，Mx 則是未做或無法評估。此題兩層陷阱：來源決定 p 字首、資料不足決定 Mx。T 依大小（T1≦2、T2 2–5、T3＞5 cm）、N 依淋巴結數目分級。",[24,26,28,30,32],{"term":25,"count":10},"乳癌 TNM 分期",{"term":27,"count":10},"病理分期 p",{"term":29,"count":10},"臨床分期 c",{"term":31,"count":10},"Mx 與 M0 差異",{"term":33,"count":10},"淋巴結分級",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-078","有關過敏性休克的治療與護理指導，下列何者錯誤？",78,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-1-medical-surgical-014","下列何者不是結腸癌的典型臨床表徵？",14,110,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-110-2-medical-surgical-028","有關心肌梗塞病人的護理，下列敘述何者錯誤？",28,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-111-2-medical-surgical-066","有關多囊性腎病的敘述，下列何者錯誤？",66,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-medical-surgical-030","承上題，病人體重 65 公斤，其靜脈液體補充，依據帕克蘭公式（Parkland formula）24 小時內的第一個 8 小時應給予多少液體？",30,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-1-medical-surgical-024","為一位乳癌骨轉移合併脊髓壓迫的病人進行身體評估時，下列症狀或徵象何者最不常出現？",24,114,"2026-09-04",1788510713001]