[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-041":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-041","nurse-109-2-medical-surgical-041",109,2,41,"胃癌的發生可能與下列何種病毒或細菌感染有關？",{"A":14,"B":15,"C":16,"D":17},"CMV（cytomegalovirus）","Escherichia coli","Helicobacter pylori","HPV（human papilloma virus）","C",null,[],"本題考點是胃癌的感染性致病因子。考點在於辨識幽門螺旋桿菌（Helicobacter pylori）是世界衛生組織列為第一類致癌物的胃癌相關病原，其長期感染引起慢性胃炎、萎縮性胃炎、腸化生，逐步進展為胃腺癌，故選C。A的巨細胞病毒（CMV）主要在免疫低下者造成視網膜炎、腸炎，與胃癌無直接因果。B的大腸桿菌（E. coli）是腸道常見菌與泌尿道／腸道感染有關，非胃癌病因。D的人類乳突病毒（HPV）與子宮頸癌、口咽癌相關，並非胃癌成因。故唯一正確為C。","H. pylori致癌機轉：分泌尿素酶中和胃酸得以定殖，CagA、VacA毒素引發慢性發炎與上皮損傷，走向「慢性胃炎→萎縮→腸化生→異型增生→腺癌」（Correa cascade）。它同時是消化性潰瘍與胃黏膜相關淋巴組織（MALT）淋巴瘤主因，根除治療可使MALT淋巴瘤消退。診斷：碳13尿素呼氣試驗、快速尿素酶（CLO）試驗、糞便抗原。病毒與癌症對照記憶：HPV→子宮頸癌、B\u002FC肝炎病毒→肝癌、EB病毒→鼻咽癌、H. pylori→胃癌。",[24,27,29,32],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":28,"count":10},"胃腺癌",{"term":30,"count":31},"慢性萎縮性胃炎與腸化生",1,{"term":33,"count":31},"第一類致癌物",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-042","真性紅血球增多症的臨床表徵，下列何者錯誤？",42,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-medical-surgical-058","有關促進急性呼吸窘迫症候群（ARDS）病人有效呼吸道清除的護理措施，下列何者正確？",58,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-medical-surgical-072","有關副甲狀腺機能亢進病人的臨床表徵，下列何者正確？①少尿 ②噁心 ③心律不整 ④骨鈣沉積",72,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-medical-surgical-030","下列何者為骨性關節炎的症狀和徵象？",30,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-medical-surgical-024","病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",24,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-018","有關預防靜脈血栓形成之措施，下列何者不適當？",18,114,"2026-09-04",1788510716663]