[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-109-2-內外科護理學-016","nurse-109-2-medical-surgical-016",109,2,16,"病人主訴「餓的時候疼痛，常常半夜痛醒」，下列何者為其最大可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"胃食道逆流","慢性胃炎","胃潰瘍","十二指腸潰瘍","D",null,[],"本題考點在於依疼痛時序鑑別消化性潰瘍的部位。題幹「餓的時候疼痛、常半夜痛醒」是十二指腸潰瘍的典型飢餓痛與夜間痛，進食後因食物中和胃酸而疼痛緩解，故選 D。A 胃食道逆流以火燒心、酸液反流為主，多在飯後或平躺時加重，非飢餓痛型態。B 慢性胃炎症狀較不具特異性，無此規律的空腹夜間痛特徵。C 胃潰瘍則相反，疼痛多在進食後出現或加劇，因食物刺激胃酸分泌並直接接觸潰瘍面。故最符合飢餓痛與夜間痛者為十二指腸潰瘍。","鑑別要訣看「進食與疼痛的關係」：十二指腸潰瘍＝空腹\u002F飢餓痛、夜間痛、進食後緩解（食物暫時中和酸）；胃潰瘍＝餐後痛、進食後加劇，病人常因怕痛而減少進食致體重下降。兩者多與幽門螺旋桿菌（H. pylori）感染及非類固醇抗發炎藥（NSAIDs）有關。十二指腸潰瘍好發於球部，胃酸分泌常偏高。治療以質子幫浦抑制劑加抗生素根除 H. pylori。記憶：Duodenal＝Hungry pain（飢餓痛），進食「Better」。",[24,27,29,32,34],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":17,"count":28},4,{"term":30,"count":31},"飢餓痛",1,{"term":33,"count":31},"夜間痛",{"term":35,"count":31},"胃潰瘍餐後痛",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-017","有關刺激胃液分泌的因素，下列何者正確？",17,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-medical-surgical-033","有關心臟循環動力學的敘述，下列何者錯誤？",33,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-047","有關燒傷病人敷料應用的敘述，下列何者錯誤？",47,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",5,112,{"webId":56,"stem":57,"number":58,"year":54,"session":59},"nurse-112-3-medical-surgical-049","病人體重 77 公斤，摔車導致右側大腿變形骨折，血流不止，119 緊急救護員給予緊急處理後送到急診，病人體溫 35.8℃、心跳 136 次／分、呼吸 34 次／分、血壓 80\u002F58 mmHg，皮膚冷潮濕，微血管充填時間大於 2 秒，呈現焦慮情緒。依據上述資料，病人呈現的休克種類，下列何者正確？",49,3,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-114-1-medical-surgical-043","有關服用治療甲狀腺機能亢進之放射性碘（ 131I）的敘述，下列何者正確？",43,114,"2026-09-04",1788510716397]