[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-075","nurse-110-2-medical-surgical-075",110,2,75,"有關糖尿病視網膜病變的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"視網膜眼底檢查可見微血管瘤，是屬於非增殖性視網膜病變","區分增殖性或非增殖性視網膜病變可藉由直接觀察視網膜來確診","視網膜新生血管破裂出血，液體從血管滲出，會造成黃斑部水腫","糖尿病所引起的黃斑部病變可利用雷射治療恢復失去的視力","D",null,[],"本題考點為糖尿病視網膜病變的分期與治療侷限。依疾病進展,雷射光凝固治療目的在封閉滲漏血管、抑制新生血管以延緩惡化,無法使「已喪失」的視力恢復,故敘述錯誤者為D。(A)非增殖性期眼底可見微血管瘤,屬正確的早期表現。(B)增殖與非增殖之區分確可經眼底鏡直接觀察視網膜有無新生血管來判定。(C)新生血管脆弱易破裂出血、液體滲漏可造成黃斑部水腫,亦為正確機轉。考點在於雷射的角色是「保住」而非「恢復」視力,已受損的黃斑部視力難以逆轉。","糖尿病視網膜病變分非增殖性(NPDR:微血管瘤、硬性滲出、點狀出血)與增殖性(PDR:視網膜新生血管、玻璃體出血、牽引性視網膜剝離)。雷射(panretinal photocoagulation)藉破壞缺氧視網膜降低VEGF,抑制新生血管;抗VEGF注射則針對黃斑部水腫。關鍵觀念:治療是「防止惡化、保留現有視力」,不是修復。記憶:雷射=踩煞車不是倒車。可連結:VEGF機轉、黃斑部水腫、血糖與血壓控制對進展的影響。",[24,27,29,31,33],{"term":25,"count":26},"糖尿病視網膜病變",1,{"term":28,"count":26},"增殖性與非增殖性分期",{"term":30,"count":26},"雷射光凝固治療",{"term":32,"count":26},"黃斑部水腫",{"term":34,"count":26},"微血管瘤",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-076","下列何種休克病人，根據其導因應優先考慮給與水分或血品之輸注？",76,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-medical-surgical-012","有關下腸胃道攝影檢查的敘述，下列何者正確？",12,111,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-112-1-medical-surgical-026","有關急性心肌梗塞的診斷檢查，下列敘述何者錯誤？",26,112,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-1-medical-surgical-014","下列何者為白內障最有效的治療方式？",14,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-medical-surgical-018","有關預防靜脈血栓形成之措施，下列何者不適當？",18,114,{"webId":61,"stem":62,"number":43,"year":63,"session":26},"nurse-106-1-medical-surgical-012","有關肝硬化造成腹水的機轉，下列何者錯誤？",106,"2026-09-04",1788510729508]