[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"產兒科護理學","maternal-pediatric",{"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-109-2-產兒科護理學-069","nurse-109-2-maternal-pediatric-069",109,2,69,"小明 3 歲，罹患急性淋巴性白血病，有關接受誘導期化學治療的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"相較於 6 個月或是 12 歲罹病的病童，小明有較佳的預後","allopurinol 是用來預防腫瘤溶血症候群的藥物","中樞神經系統和睪丸是急性淋巴性白血病最常復發的地方","MTX、Ara-C、hydrocortisone 用來預防中樞神經系統復發","B",null,[],"本題考點在於急性淋巴性白血病(ALL)誘導期治療的相關概念,屬找錯誤者。依官方判定B為錯誤敘述,選B:allopurinol的作用是抑制黃嘌呤氧化酶、減少尿酸生成,其所預防的應是「腫瘤溶解症候群(tumor lysis syndrome)」而非選項所寫的「腫瘤溶血症候群」,用詞與概念有誤。A依預後因子,發病年齡約1至9歲者預後較佳,3歲確實優於6個月或12歲;C中樞神經與睪丸是ALL常見的庇護所與復發部位;D鞘內注射MTX、Ara-C與hydrocortisone用於預防中樞神經復發,三者皆正確。","腫瘤溶解症候群為大量癌細胞崩解釋出鉀、磷、尿酸致高血鉀、高血磷、低血鈣與急性腎損傷;預防靠水化、allopurinol或rasburicase降尿酸。ALL預後好因子:年齡1至9歲、初診白血球低、無CNS侵犯、對治療反應快。CNS與睪丸為藥物難達之庇護所故需特別預防。此題爭點在中文用詞,故信心標中。",[24,27,29,32],{"term":25,"count":26},"腫瘤溶解症候群",4,{"term":28,"count":10},"急性淋巴性白血病",{"term":30,"count":31},"allopurinol降尿酸",1,{"term":33,"count":31},"中樞神經庇護所",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-maternal-pediatric-070","小美 5 歲，出現發燒、臉色蒼白、虛弱、肚子痛，經醫師確診為神經母細胞瘤第三期，下列敘述何者最不適當？",70,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-maternal-pediatric-006","有關妊娠期會陰按摩，下列敘述何者正確？",6,110,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-111-1-maternal-pediatric-020","下列那種情況容易發生產後痛（after pain）？",20,111,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-112-1-maternal-pediatric-058","有關瀕死病童的生理變化，下列敘述何者錯誤？",58,112,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-113-2-maternal-pediatric-002","孫女士於產檢時，詢問葉酸補充注意事項，下列何者為最適當的護理指導？",113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-maternal-pediatric-046","有關新生兒先天性甲狀腺功能低下症（congenital hypothyroidism）的敘述，下列何者錯誤？",46,114,"2026-09-04",1788510717677]