[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-036","nurse-109-2-medical-surgical-036",109,2,36,"依據安阿伯（Ann Arbor）臨床分期系統，下列何者屬於何杰金氏淋巴瘤第Ⅱ期？",{"A":14,"B":15,"C":16,"D":17},"侵犯多個淋巴結以外的器官或組織","侵犯單一淋巴結區域外器官","侵犯橫膈膜同側 2 個以上淋巴結區域","侵犯橫膈膜兩側淋巴結區域","C",null,[],"本題考點是何杰金氏淋巴瘤的安阿伯（Ann Arbor）分期。考點在於辨識各期以「侵犯淋巴結區數目」與「橫膈膜相對位置」為分界：第Ⅱ期定義為侵犯橫膈膜「同側」兩個以上淋巴結區域，故選C。A描述瀰漫或多發性侵犯淋巴結以外器官組織，屬第Ⅳ期。B描述單一淋巴結區合併局部結外器官侵犯（E病灶），對應第Ⅰ期的結外延伸（ⅠE）而非Ⅱ期。D描述橫膈膜「兩側」淋巴結區受侵，屬第Ⅲ期。因此僅C符合Ⅱ期定義。","Ann Arbor記憶框架：Ⅰ＝單一淋巴結區；Ⅱ＝橫膈同側≥2區；Ⅲ＝橫膈兩側；Ⅳ＝瀰漫性結外器官（如肝、骨髓）。後綴A無全身症狀、B有發燒>38°C／夜間盜汗／半年內體重減輕>10%；E為鄰近結外侵犯、S為脾臟侵犯。橫膈膜是分辨Ⅱ與Ⅲ的關鍵界線。何杰金氏以Reed-Sternberg細胞為病理標記，分期直接影響放療與化療決策。",[24,27,29,32],{"term":25,"count":26},"何杰金氏淋巴瘤",4,{"term":28,"count":10},"B症狀",{"term":30,"count":31},"Ann Arbor分期系統",1,{"term":33,"count":31},"橫膈膜同側",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-037","下列何者不是骨髓檢查之目的？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-medical-surgical-053","有關放置胸管（chest tube）病人的照護，下列何者正確？",53,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-medical-surgical-067","有關腎移植後的急性排斥徵候，不包括下列何者？",67,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-medical-surgical-025","有關心包填塞（cardiac tamponade）的徵象，下列何者錯誤？",25,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-medical-surgical-019","有關心臟節律器之敘述，下列何者正確？",19,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-013","有關移除下肢石膏後病人護理指導之敘述，下列何者不適當？",13,114,"2026-09-04",1788510716617]