[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-1-內外科護理學-019","nurse-110-1-medical-surgical-019",110,1,19,"下列何者為骨性關節炎的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"Heberden’s 結節","發燒","尺側偏斜","Felty’s 症候群","A",null,[],"本題考點為骨性關節炎(退化性關節炎,OA)與類風濕性關節炎(RA)的臨床鑑別。依病理,OA 是關節軟骨的機械性磨損退化,在遠端指間關節形成骨質增生的 Heberden's 結節,故選 A。選項 B 發燒屬全身性發炎,常見於 RA 而非 OA;選項 C 尺側偏斜是 RA 侵犯掌指關節、破壞結構的典型變形;選項 D Felty's 症候群(RA 合併脾腫大與白血球低下)屬 RA 關節外表現。三個錯項均屬發炎性關節炎特徵,唯 Heberden's 結節屬退化性 OA。","OA vs RA 速記:OA 是『磨損』——遠端指間 Heberden、近端 Bouchard 結節,晨僵短(\u003C30 分),負重後痛、休息緩解,不對稱、無全身症狀。RA 是『免疫發炎』——對稱、侵犯掌指與近端指間、晨僵長(>1 小時)、尺側偏斜、天鵝頸與鈕釦畸形,伴發燒、Felty's 等關節外表現。結節長在遠端且無發炎全身症狀,即典型 OA。",[24,27,29,31],{"term":25,"count":26},"骨性關節炎",5,{"term":28,"count":10},"Heberden's 結節",{"term":30,"count":10},"OA 與 RA 鑑別",{"term":32,"count":10},"退化性軟骨磨損",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-020","下列何者為骨髓炎病人的常見用藥？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-medical-surgical-036","有關 BUN 與 Serum Creatinite 比值的敘述，下列何者正確？",36,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-050","有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",50,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-medical-surgical-008","重症肌無力病人使用抗膽鹼酯酶藥物的護理指導，下列何者正確？①腹部絞痛可能為劑量不足徵象 ②鼓勵進食高蛋白食物預防副作用 ③血壓上升可能為劑量過量徵象 ④務必準時服藥因延遲服藥可能會喪失吞藥力量",8,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-medical-surgical-032","有關鞏皮症（進行性系統性硬化症，progressive system sclerosis）護理指導之敘述，下列何者錯誤？",32,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-medical-surgical-026","有關帶狀疱疹，下列敘述何者最適當？①感染痊癒後通常會有終生免疫力 ②避免摩擦造成水泡破裂，建議穿寬鬆柔軟衣服 ③當有神經痛症狀，可給予適當的止痛藥物 ④未患過水痘的人，應避免與帶狀疱疹病人接觸",26,114,3,"2026-09-04",1788510720908]