[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-110-1-基礎醫學-040","nurse-110-1-basic-medicine-040",110,1,40,"骨質疏鬆症（osteoporosis）與下列那一徵候較無關？",{"A":15,"B":16,"C":17,"D":18},"發燒","疼痛","骨折","脊柱側彎","A",null,[],"本題考點是骨質疏鬆症的臨床表現範圍。依骨質疏鬆的病生理,它是骨量減少、骨微結構破壞的「非發炎性」代謝性骨病,並不會引起發燒,故問與其較無關的徵候選 A。考點在於區分代謝性與發炎性骨病:B 疼痛可因微小骨折或脊椎壓迫而生;C 骨折是骨質疏鬆最重要的併發症,尤以髖部、脊椎、腕部為主;D 脊椎多處壓迫性骨折會造成駝背與脊柱變形側彎,三者皆與骨質疏鬆相關,唯發燒屬感染或發炎徵象,與之無關。","骨質疏鬆分停經後(第一型,雌激素下降致蝕骨活性增加)與老年型(第二型,鈣與維生素 D 吸收下降)。它「靜悄悄」進展,常到骨折才被發現,故稱 silent disease。若病人有骨痛又發燒,反而要往感染(骨髓炎)、惡性腫瘤骨轉移或多發性骨髓瘤等方向思考,而非單純骨質疏鬆,這正是本題的鑑別重點。",[25,27,29,31,33],{"term":26,"count":11},"骨質疏鬆症",{"term":28,"count":11},"代謝性骨病",{"term":30,"count":11},"壓迫性骨折",{"term":32,"count":11},"脊柱後凸",{"term":34,"count":11},"發燒鑑別",[36,40,45,50,56,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-1-basic-medicine-041","下列細胞形態或胞器的改變，何者是屬於細胞可逆性的損傷？",41,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-110-2-basic-medicine-057","下列何者藥物具有強力止吐作用？",57,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-111-1-basic-medicine-071","下列何者是影響自體免疫疾病易感性的主要遺傳因子？",71,111,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-112-3-basic-medicine-039","下列化療藥物中，何者主要使用於腦瘤治療？",39,112,3,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-114-1-basic-medicine-043","下列何者為T細胞最初發育的器官？",43,114,{"webId":62,"stem":63,"number":64,"year":65,"session":44},"nurse-115-2-basic-medicine-037","下列抗心律不整藥物中，何者於臨床上亦可作為局部麻醉劑使用？",37,115,"2026-09-04",1788510719479]