[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-031","nurse-110-1-medical-surgical-031",110,1,31,"急性心肌梗塞的診斷檢查，下列何者最具專一性？",{"A":14,"B":15,"C":16,"D":17},"心肌鈣蛋白 I（cardiac troponin I）","鉈-201 掃描（Tl-201）","肌紅素（myoglobin）","心電圖","A",null,[],"本題考點為急性心肌梗塞診斷檢查中專一性最高的指標。考點在於心肌鈣蛋白 I（cardiac troponin I）僅存在於心肌細胞，心肌壞死時釋放入血，對心肌損傷具高度專一性且可維持數天，是確立診斷的首選標記，故選 A。B 鉈-201 掃描評估心肌灌流缺損，屬功能性檢查非最專一的損傷標記。C 肌紅素上升早但廣泛存在於骨骼肌，專一性低。D 心電圖對定位與時序重要，但 ST 變化可受多種因素影響，專一性不如 troponin I。","心肌損傷標記時序：肌紅素最早（1～2 小時上升，敏感但不專一）；CK-MB（4～6 小時）；troponin I／T（3～6 小時上升，可持續 7～14 天，專一性最高）。臨床以 troponin 為診斷金標準，並搭配心電圖動態變化與症狀。記憶口訣：早看肌紅素（快但雜），準看 troponin（慢但真）。故問「最具專一性」選 troponin I，問「最早上升」才選肌紅素。",[24,27,30,32,34],{"term":25,"count":26},"急性心肌梗塞",5,{"term":28,"count":29},"專一性",2,{"term":31,"count":10},"心肌鈣蛋白I",{"term":33,"count":10},"心肌損傷標記",{"term":35,"count":10},"肌紅素",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-032","有關心臟血管系統的診斷檢查結果，下列敘述何者正確？",32,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-110-2-medical-surgical-048","有關後天免疫缺乏症候群（acquired immunodeficiency syndrome, AIDS）病人出院護理指導的敘述，下列何者錯誤？",48,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-062","承上題，下列何項為林小姐接下來的重要處理目標？",62,111,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-2-medical-surgical-020","有關接受關節腔鏡檢查病人的陳述，下列何者顯示需要進一步的護理指導？",20,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-113-2-medical-surgical-044","有關尿崩症臨床表徵之敘述，下列何者錯誤？",44,113,{"webId":61,"stem":62,"number":63,"year":64,"session":65},"nurse-114-3-medical-surgical-038","有關活體腎臟移植捐贈者，下列敘述何者最不適當？",38,114,3,"2026-09-04",1788510721057]