[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-111-1-內外科護理學-012","nurse-111-1-medical-surgical-012",111,1,12,"下列何者不是食道癌常見的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"吞嚥困難","食慾不振","腹痛","聲音沙啞","C",null,[],"本題考點是食道癌的常見臨床表徵,採否定題選出『非』典型者。依食道癌的解剖與病程,腫瘤阻塞食道腔會先出現進行性吞嚥困難(先固體後液體)、因進食受阻與腫瘤消耗導致食慾不振與體重減輕,若侵犯喉返神經則聲音沙啞,這些皆為常見表現。腹痛並非食道癌典型症狀(食道位於胸腔,病灶多表現為胸骨後不適而非腹痛),故選 C 腹痛為非典型者。A 吞嚥困難是最具代表性的主徵。B 食慾不振與 D 聲音沙啞皆為常見伴隨表現。","食道癌首發也最重要的警訊是『進行性吞嚥困難』:由難吞固體逐漸到連流質、口水也難吞,反映管腔進行性狹窄。侵犯周邊構造可致聲音沙啞(喉返神經)、持續咳嗽或吸入性肺炎(氣管食道瘻)、胸骨後痛。腹痛屬胃腸道下段病灶特徵,與食道位置不符,是本題辨別關鍵。高危因子:抽菸、酗酒、長期胃食道逆流(Barrett 食道)、熱燙食物。",[24,27,29,31],{"term":25,"count":26},"食道癌",3,{"term":28,"count":10},"進行性吞嚥困難",{"term":30,"count":10},"聲音沙啞喉返神經",{"term":32,"count":10},"腹痛非典型",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-013","有關膈裂孔疝氣的敘述，下列何者正確？",13,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-043","護理之家發生火災，許多住民吸入性灼傷，下列緊急處置，何者正確？",43,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-031","有關全身性紅斑性狼瘡（SLE）臨床表徵之敘述，下列何者錯誤？",31,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-medical-surgical-035","以脈搏血氧測量儀（pulse oximetry）所測得的數值，下列何者表示組織氧合（oxygenation）正常？",35,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-029","有關吸菸對動脈硬化阻塞疾病病人之影響，下列何者錯誤？",106,"2026-09-04",1788510734309]