[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-109-2-內外科護理學-014","nurse-109-2-medical-surgical-014",109,2,14,"有關舌癌的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"通常屬於基底細胞癌","口腔腫瘤中預後最差的一種","大多發生於舌頭前段","好發於中年以後的女性","B",null,[],"本題考點在於舌癌的病理與臨床特徵。舌癌是口腔癌中預後相對最差的一種，因舌部血流與淋巴豐富、易早期頸部淋巴轉移，故選 B。A 錯在組織型態，舌癌絕大多數為鱗狀細胞癌，而非基底細胞癌（基底細胞癌好發於皮膚）。C 錯在好發部位，舌癌多見於舌側緣與舌後三分之一，而非舌頭前段。D 錯在流行病學，舌癌好發於中老年男性，且與嚼檳榔、抽菸、飲酒相關，並非好發於女性。故正確者為 B，舌癌為口腔腫瘤中預後最差者。","口腔癌九成以上為鱗狀細胞癌，與檳榔、菸、酒三者協同致癌關係密切（台灣男性口腔癌與嚼檳榔高度相關）。舌癌預後差的關鍵在於舌淋巴引流豐富、易早期發生頸部淋巴結轉移，且舌活動度高使腫瘤易擴散。好發於舌側緣中後段。與基底細胞癌區分：後者屬皮膚癌、少轉移、預後佳。臨床警訊：口腔潰瘍逾兩週不癒、白斑或紅斑、不明硬塊，應提高警覺並轉介切片。",[24,27,29,32,34],{"term":25,"count":26},"鱗狀細胞癌",6,{"term":28,"count":10},"頸部淋巴轉移",{"term":30,"count":31},"舌癌",1,{"term":33,"count":31},"舌側緣",{"term":35,"count":31},"檳榔菸酒",[37,41,46,50,55,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-015","有關腹膜炎病人身體評估之發現，下列何者正確？①腹痛輻射至背部或肩膀 ②腹部肌肉僵硬如木板 ③觸診腹部時出現壓痛及反彈痛 ④腸蠕動音增強",15,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-medical-surgical-031","急性心肌梗塞的診斷檢查，下列何者最具專一性？",31,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-045","有關傷口敷料的敘述，下列何者正確？",45,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-1-medical-surgical-003","有關多發性硬化症病人的自我照顧之護理指導，下列敘述何者錯誤？",3,112,{"webId":56,"stem":57,"number":58,"year":54,"session":53},"nurse-112-3-medical-surgical-047","有關甲狀腺功能亢進病人的飲食指導，下列何者不適當？",47,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-114-1-medical-surgical-041","有關預防泌尿道感染復發的護理指導，下列何者錯誤？",41,114,"2026-09-04",1788510716377]