[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-036","nurse-110-1-medical-surgical-036",110,1,36,"下列何者不是紅血球過多症常見的併發症？",{"A":14,"B":15,"C":16,"D":17},"栓塞（thrombosis）","出血（bleeding）","痛風（gout）","過敏（allergy）","D",null,[],"本題考點為紅血球過多症（polycythemia）的常見併發症，題目要選「不是」者。考點在於紅血球過多使血液黏稠度上升、血流緩慢，易形成血栓栓塞；血球過度增生也可能伴血小板功能異常而出血；細胞高度崩解使尿酸升高導致痛風，這三者皆為常見併發症。而過敏（allergy）屬免疫過敏反應，與紅血球數量增多無病理關聯，故選 D。此題關鍵在辨識「黏稠與細胞崩解」兩條主軸下的合理併發症。","真性紅血球增多症（polycythemia vera）機轉：JAK2 基因突變使骨髓過度製造紅血球，血比容升高、黏稠度增加。併發症三主軸：血栓（黏稠慢流→栓塞、中風、心肌梗塞）、出血（血小板質異常）、高尿酸／痛風（細胞大量更新崩解釋放普林）。處置含放血（phlebotomy）降血比容、抗血小板。記憶：血太濃→塞、崩太多→痛風、板不良→血；過敏與這條病理鏈無關，是誘答。",[24,27,30,32,34],{"term":25,"count":26},"高尿酸血症",3,{"term":28,"count":29},"血液黏稠度",2,{"term":31,"count":10},"紅血球過多症",{"term":33,"count":10},"血栓栓塞",{"term":35,"count":10},"痛風",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-037","有關慢性淋巴性白血病的敘述，下列何者錯誤？",37,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-110-2-medical-surgical-053","接受胸腔放液後的病人，下列何者最需緊急處理？",53,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-067","有關慢性腎衰竭的典型臨床表徵，下列何者錯誤？",67,111,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-2-medical-surgical-025","有關心內膜炎周邊症狀之敘述，下列何者錯誤？",25,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-113-2-medical-surgical-049","當意識不清病人被送至急診，檢查瞳孔兩側等大且小於 2.0 mm，可能為下列何者中毒？①有機磷 ②安非他命 ③鴉片 ④古柯鹼",49,113,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-114-3-medical-surgical-043","有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",43,114,"2026-09-04",1788510721107]