[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-110-2-內外科護理學-014","nurse-110-2-medical-surgical-014",110,2,14,"有關胃潰瘍的敘述，下列何者正確？①右上腹疼痛 ②常見噁心嘔吐 ③進食後 2～3 小時、半夜、空腹時發生疼痛 ④胃酸分泌正常",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","D",null,[],"本題考點在於胃潰瘍與十二指腸潰瘍的臨床鑑別。依消化性潰瘍疼痛時序，胃潰瘍典型是「進食後三十至六十分鐘」上腹疼痛，因食物刺激胃酸分泌加重潰瘍面；十二指腸潰瘍才是「餐後二至三小時、半夜、空腹」痛，進食反而緩解，故③屬十二指腸潰瘍、本題錯。疼痛位置多在上腹中央或左上腹，右上腹屬膽道，故①錯。胃潰瘍常伴噁心嘔吐、體重下降，故②對；胃潰瘍胃酸分泌正常甚至偏低(不像十二指腸潰瘍胃酸過高)，故④對。組合②④即正解D。","鑑別核心是「痛與食物的關係」。胃潰瘍：Food-Pain(吃了就痛、怕吃、體重降)、胃酸正常偏低、癌變風險較高。十二指腸潰瘍：Pain-Food-Relief(空腹半夜痛、吃了緩解、體重穩)、胃酸偏高。記憶口訣「胃怕吃、腸怕餓」。共同機轉皆與H. pylori感染及NSAID破壞黏膜屏障有關。可連結概念：Zollinger-Ellison症候群、制酸劑與PPI給藥時機。",[24,27,29,32],{"term":25,"count":26},"消化性潰瘍",5,{"term":28,"count":10},"胃酸分泌",{"term":30,"count":31},"胃潰瘍疼痛時序",1,{"term":33,"count":31},"十二指腸潰瘍鑑別",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-medical-surgical-015","接受全靜脈營養輸注的病人，突然停止輸注後容易產生的併發症狀，下列何者正確？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-111-1-medical-surgical-031","有關聽診心音之敘述，下列何者錯誤？",31,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-medical-surgical-045","皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",45,{"webId":49,"stem":50,"number":51,"year":52,"session":51},"nurse-112-3-medical-surgical-003","額葉腦瘤病人，最可能出現下列何項臨床表徵？",3,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-114-1-medical-surgical-007","有關大腸癌的高危險因子，下列敘述何者正確？",7,114,{"webId":59,"stem":60,"number":31,"year":61,"session":10},"nurse-115-2-medical-surgical-001","腦下垂體腫瘤病人接受經蝶骨腫瘤切除術後第 4 天，持續有流鼻水、頭痛現象，下列處置之敘述何者正確？",115,"2026-09-04",1788510728888]