[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":25},"nurse-110-1-內外科護理學-057","nurse-110-1-medical-surgical-057",110,1,57,"下列那一種肺癌生長最快速，且最惡性但對化學及放射線治療敏感？",{"A":14,"B":15,"C":16,"D":17},"小細胞肺癌","鱗狀細胞癌","肺腺癌","大細胞肺癌","A",null,[],"本題考點在於肺癌組織分型的生物行為差異。小細胞肺癌源自神經內分泌細胞，倍增時間短、生長最快速、最早發生遠端轉移且惡性度最高，但對化學治療與放射線治療反應敏感，故選A。選項B鱗狀細胞癌與吸菸相關、多位於中央支氣管，生長速度中等。選項C肺腺癌是最常見的非小細胞肺癌、多位於周邊，生長相對緩慢。選項D大細胞肺癌分化差但發生率低。四者中唯小細胞肺癌兼具「最惡性、進展最快、卻對化放療敏感」的特徵，臨床治療以全身性化療為主。","肺癌分兩大陣營：小細胞肺癌（SCLC）與非小細胞肺癌（NSCLC，含腺癌、鱗狀細胞癌、大細胞癌）。SCLC關鍵記憶：神經內分泌起源、常伴副腫瘤症候群（如SIADH、Cushing樣表現）、確診時多已擴散故少用手術、主打化療±放療但易復發。NSCLC則早期以手術切除為主。解題邏輯：題目同時出現「最快、最惡性、卻對化放療敏感」＝SCLC的招牌組合。可連結：副腫瘤症候群、SIADH、TNM分期、腺癌周邊型。",[24,26,28,30],{"term":14,"count":25},2,{"term":27,"count":10},"神經內分泌腫瘤",{"term":29,"count":10},"化學治療敏感性",{"term":31,"count":10},"肺癌組織分型",[33,37,41,46,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-medical-surgical-058","有關促進急性呼吸窘迫症候群（ARDS）病人有效呼吸道清除的護理措施，下列何者正確？",58,{"webId":38,"stem":39,"number":40,"year":9,"session":25},"nurse-110-2-medical-surgical-074","承上題，有關王先生診斷可能出現的徵象，下列何者錯誤？",74,{"webId":42,"stem":43,"number":44,"year":45,"session":25},"nurse-111-2-medical-surgical-008","有關內視鏡椎間盤切除術的敘述，下列何者錯誤？",8,111,{"webId":47,"stem":48,"number":49,"year":50,"session":25},"nurse-112-2-medical-surgical-046","熱燒傷病人進行水療法時之護理措施，下列何者最適宜？",46,112,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-113-3-medical-surgical-020","有關機械性人工心瓣膜特性之敘述，下列何者正確？",20,113,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-medical-surgical-014","下列何種病毒與罹患鼻咽癌有關？",14,115,"2026-09-04",1788510721327]