[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-018":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-018","nurse-109-2-medical-surgical-018",109,2,18,"有關骨性關節炎的診斷檢查，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"抗細胞核抗體（ANA）升高","X 光呈現骨贅形成及關節腔變窄","C 反應蛋白（CRP）上升","關節滑液呈現混濁，黏性低、蛋白質增加","B",null,[],"本題考點在於骨性關節炎（退化性關節炎）的診斷檢查特徵。骨性關節炎屬非發炎性的軟骨退化，X 光典型呈現骨贅（骨刺）形成與關節腔變窄，反映軟骨磨損與骨質增生，故選 B。A 抗細胞核抗體（ANA）升高見於全身性紅斑性狼瘡等自體免疫疾病，非骨性關節炎特徵。C 反應蛋白（CRP）為發炎指標，會在類風濕性關節炎等發炎性關節病升高，骨性關節炎通常正常。D 關節滑液呈混濁、黏性低、蛋白質增加屬發炎性關節液表現，骨性關節炎的滑液多清澈、黏性正常。故診斷特徵為 X 光骨贅與關節腔變窄。","骨性關節炎的 X 光四大特徵記憶「LOSS」：關節腔變窄（Loss of joint space）、骨贅（Osteophytes）、軟骨下硬化（Subchondral sclerosis）、軟骨下囊腫（Subchondral cysts）。與類風濕性關節炎鑑別：後者為發炎性、對稱、晨僵超過一小時、CRP／ESR 上升、RF 與 anti-CCP 陽性、X 光見骨侵蝕與骨質疏鬆。骨性關節炎滑液屬第一類（非發炎，清澈高黏性），發炎性關節液則混濁、黏性低、白血球高。手指遠端指間關節骨贅稱 Heberden's node。",[24,27,29,32,34],{"term":25,"count":26},"骨性關節炎",5,{"term":28,"count":10},"類風濕性關節炎鑑別",{"term":30,"count":31},"骨贅",1,{"term":33,"count":31},"關節腔變窄",{"term":35,"count":31},"關節滑液分析",[37,41,46,50,55,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-019","下列何者為退化性關節炎的高危險群？①BMI 35 kg\u002Fm 2 ②長期服用腎上腺皮質類固醇 ③重複性右膝受傷史 ④停經後婦女",19,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-medical-surgical-035","有關貧血病因的敘述，下列何者正確？",35,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-049","下列何者為初級免疫反應最先合成的免疫球蛋白？",49,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-1-medical-surgical-007","進行意識評估，病人無法自動睜眼，叫喚才會睜開眼睛，人、地定向感清楚，但時間回答錯誤，能遵照指示做出正確的動作，其 GCS 昏迷量表，下列何者正確？",7,112,{"webId":56,"stem":57,"number":31,"year":58,"session":31},"nurse-113-1-medical-surgical-001","有關多發性硬化症之診斷檢查，下列何者錯誤？",113,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-114-1-medical-surgical-045","有關尿崩症病人之護理處置，下列何者錯誤？",45,114,"2026-09-04",1788510716426]