[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-042":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-042","nurse-110-1-medical-surgical-042",110,1,42,"下列何者不是嚴重缺鐵性貧血病人常見的症狀？",{"A":14,"B":15,"C":16,"D":17},"吞嚥困難","舌炎、口炎","湯匙狀指甲","手足有麻木感","D",null,[],"本題考點為嚴重缺鐵性貧血的臨床表現，題目要選「不是」者。考點在於缺鐵會影響上皮組織與含鐵酵素，典型出現吞嚥困難（合併食道蹼的 Plummer-Vinson 症候群）、舌炎與口角炎、湯匙狀（匙狀）指甲等外胚層變化。而手足麻木屬周邊神經病變，是維生素 B12 缺乏（惡性貧血）的表現，並非缺鐵性貧血的症狀，故選 D。此題關鍵在區分「缺鐵傷上皮」與「缺 B12 傷神經」兩種不同貧血的表現。","缺鐵性貧血上皮徵象：匙狀指（koilonychia）、舌乳突萎縮的光滑舌與舌炎、口角炎、吞嚥困難（Plummer-Vinson＝缺鐵＋食道蹼＋吞嚥困難），另有異食癖。對比惡性貧血（B12 缺乏）：巨球性貧血＋神經學症狀（肢端麻木刺痛、本體感覺與平衡異常），因 B12 參與髓鞘合成。記憶：缺鐵＝小球性＋上皮（指甲舌頭吞嚥），缺 B12＝大球性＋神經（麻木）。故手足麻木指向 B12 而非鐵。",[24,27,29,32,34],{"term":25,"count":26},"缺鐵性貧血",8,{"term":14,"count":28},3,{"term":30,"count":31},"舌炎",2,{"term":33,"count":31},"維生素B12缺乏",{"term":35,"count":10},"匙狀指甲",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-043","有關骨髓抑制病人之敘述，下列何者錯誤？",43,{"webId":42,"stem":43,"number":44,"year":9,"session":31},"nurse-110-2-medical-surgical-059","有關以定量吸入器（MDI）方式給藥的敘述，下列何者錯誤？",59,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-073","有關甲狀腺功能低下症之護理措施，下列何者正確？",73,111,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-2-medical-surgical-031","有關風濕熱與風濕性心臟病之敘述，下列何者錯誤？",31,112,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-113-3-medical-surgical-005","缺血性腦中風使用血栓溶解劑（rt-PA）治療的敘述，下列何者錯誤？①可以重新打通阻塞血管 ②有動脈瘤或動靜脈畸形者不適用 ③必須在中風 8 小時內使用 ④嚴重肝病病人不適用",5,113,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-114-3-medical-surgical-049","有關泌尿道感染，下列敘述何者最適當？①確立診斷是指尿液培養每毫升菌落>10 5 個 ②上泌尿道感染是指尿道炎及膀胱炎 ③膀胱炎常見的致病菌為大腸桿菌 ④症狀改善或沒發燒即可停用抗生素",49,114,"2026-09-04",1788510721174]