[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-1-內外科護理學-018","nurse-110-1-medical-surgical-018",110,1,18,"下列何者是罹患骨質疏鬆症風險最低的情況？",{"A":14,"B":15,"C":16,"D":17},"67 歲女性，其最後一次月經期為 15 年前","45 歲男性，過去 6 個月一直服用腎上腺皮質醇治療劑","30 歲男性，偶爾飲酒，身體質量指數（BMI）為 28","35 歲女性，有癲癇病史，並定期服用 Dilantin","C",null,[],"本題考點為骨質疏鬆症的危險因子辨識,題目要選風險『最低』者。依骨質流失機轉,女性停經後雌激素驟降、長期使用類固醇、抗癲癇藥(如 Dilantin\u002Fphenytoin 干擾維生素 D 代謝)皆會加速骨流失。選項 C 為 30 歲男性、BMI 28,年輕、男性、體重偏重(性荷爾蒙充足),危險因子最少,風險最低,故選 C。選項 A 67 歲女性停經 15 年,雌激素長期缺乏;選項 B 45 歲男性長期用類固醇,誘發骨質流失;選項 D 35 歲女性長期服 Dilantin,干擾維生素 D、影響鈣吸收。","骨鬆危險因子記法『老、瘦、女、白、停經、菸酒、類固醇、制動、家族史』。類固醇是最常見的次發性骨鬆藥物;phenytoin 等抗癲癇藥經肝酵素誘導加速維生素 D 分解而減少鈣吸收。體重過輕才是危險因子,BMI 偏高者骨密度反而常較高。年輕男性、非長期用藥者風險最低,故 C 為答案。",[24,27,29,31],{"term":25,"count":26},"骨質疏鬆危險因子",3,{"term":28,"count":10},"停經與雌激素",{"term":30,"count":10},"類固醇與抗癲癇藥",{"term":32,"count":10},"體重與骨密度",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-019","下列何者為骨性關節炎的臨床表徵？",19,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-medical-surgical-035","有關癌症危險因子的敘述，下列何者錯誤？",35,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-049","有關器官移植後之護理指導，下列何者錯誤？",49,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-medical-surgical-007","關於腦瘤伽馬刀（gamma knife）立體定位放射線手術之敘述，下列何者正確？①適用於直徑小於 3 公分腫瘤 ②不會有手術切開傷口 ③治療時間約需半小時 ④使用碘放射線射入腫瘤以破壞腫瘤細胞",7,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-medical-surgical-031","汪先生診斷為肺癌並接受右肺葉切除術，下列何者為其最適合的術後姿勢臥位？",31,113,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-114-3-medical-surgical-025","有關器官移植後發生急性排斥反應，下列敘述何者最適當？",25,114,"2026-09-04",1788510720900]