[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-064","nurse-110-1-medical-surgical-064",110,1,64,"有關膀胱癌的診斷檢查與治療，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"尿液細胞學檢查是確認惡性細胞最方便的方式","以化學治療與放射線治療為主，外科切除為輔","膀胱鏡檢查是確診和定期追蹤的主要方式","膀胱化學灌藥適用於未侵犯肌肉表淺性腫瘤","B",null,[],"本題考點在於膀胱癌的診斷與治療原則。膀胱癌治療以外科手術（經尿道腫瘤切除或膀胱切除）為主，化學治療與放射線治療多為輔助，故「以化放療為主、外科為輔」的敘述錯誤，為本題答案B。選項A正確，尿液細胞學檢查非侵入、方便，可偵測脫落的惡性細胞。選項C正確，膀胱鏡可直視腫瘤並取樣，是確診與定期追蹤的主要方式。選項D正確，膀胱內化學藥物灌注適用於未侵犯肌肉層的表淺性腫瘤，可降低復發。故治療主軸方向判斷錯誤者為B。","膀胱癌關鍵在「侵犯肌肉層與否」決定治療策略：非肌肉侵犯表淺性→經尿道膀胱腫瘤切除（TURBT）＋膀胱內灌注（化療藥或卡介苗BCG）；肌肉侵犯→根治性膀胱切除±尿路改道，化放療為輔助或姑息。診斷三劍客：尿液細胞學（篩檢）、膀胱鏡＋切片（確診金標準）、影像分期。危險因子首推吸菸與芳香胺類職業暴露，典型表現為無痛性血尿。可連結：TURBT、膀胱內灌注、無痛性血尿、尿路改道。",[24,27,30,32],{"term":25,"count":26},"膀胱癌",7,{"term":28,"count":29},"膀胱鏡",2,{"term":31,"count":10},"外科切除為主",{"term":33,"count":10},"膀胱內化學灌注",[35,39,43,47,52,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-065","有關腎病症候群之照護措施，下列何者錯誤？",65,{"webId":40,"stem":41,"number":10,"year":42,"session":10},"nurse-111-1-medical-surgical-001","有關病人心智狀態評估內容的敘述，下列何者錯誤？",111,{"webId":44,"stem":45,"number":46,"year":42,"session":29},"nurse-111-2-medical-surgical-015","王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",15,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-112-2-medical-surgical-053","王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？",53,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-medical-surgical-027","有關燒傷病人輔助使用高壓氧治療之作用，下列何者最適宜？",27,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-021","惡性腫瘤細胞與正常細胞的不同特性之比較，下列何者正確？①細胞缺乏接觸抑制           ②細胞可快速增殖    ③細胞未分化狀態    ④當需要更多細胞時會發生增殖   ⑤黏著性低而活動力高",21,115,"2026-09-04",1788510721386]