[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-111-1-內外科護理學-016","nurse-111-1-medical-surgical-016",111,1,16,"有關膽結石好發之高危險群，下列何者最不可能？",{"A":14,"B":15,"C":16,"D":17},"女性","肥胖者","口服避孕藥者","曾接受胃部手術者","D",null,[],"本題考點是膽結石(膽固醇結石)的高危險群,採否定題選出最不相關者。依膽固醇結石的危險因子,經典『5F』為 Female(女性)、Fat(肥胖)、Fertile(多產\u002F雌激素)、Forty(四十歲以上)、Fair,雌激素會增加膽汁膽固醇飽和度,故口服避孕藥者(外源雌激素)風險升高。A 女性、B 肥胖、C 口服避孕藥皆屬明確高危險群。D『曾接受胃部手術者』與膽固醇結石形成關聯性最低,並非典型危險因子,故為最不可能者,選 D。","危險因子口訣 5F:Female、Fat、Fertile(懷孕多產、雌激素\u002F口服避孕藥)、Forty、Fair。核心機轉是膽汁中膽固醇過飽和或膽囊排空不良而析出結晶。快速減重、長期禁食、全靜脈營養也會因膽囊淤積而增加風險。胃部手術本身並非膽固醇結石的典型直接危因,故在四選項中關聯性最低。臨床表現:右上腹絞痛、進食油膩後加劇、可放射至右肩。",[24,26,28,30],{"term":25,"count":10},"膽結石危險因子 5F",{"term":27,"count":10},"雌激素與口服避孕藥",{"term":29,"count":10},"肥胖與女性",{"term":31,"count":10},"否定題最不相關",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-017","有關心口灼熱（Heart Burn）的敘述，下列何者錯誤？",17,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-033","有關搭飛機長程旅行後常會出現深部靜脈栓塞的主要原因，下列何者正確？",33,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-047","有關細胞毒殺過敏反應之敘述，下列何者錯誤？",47,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-035","有關肺炎鏈球菌肺炎病人之臨床表徵，下列敘述何者最不適當？",35,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-039","有關腎臟結石接受體外震波術後照護措施之敘述，下列何者錯誤？",39,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-033","病人下肢出現腫脹、發紅、溫熱感且霍曼氏徵象（Homan’s Sign）呈陽性反應，下列何者為其最有可能的診斷？",106,"2026-09-04",1788510734351]