[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-027":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-027","nurse-111-1-medical-surgical-027",111,1,27,"王先生經醫生診斷為柏格氏病（Buerger’s Disease），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"與抽菸有關","主要是周邊靜脈之阻塞","好發在上肢","走路無異狀","A",null,[],"本題考點是柏格氏病(Buerger's disease,血栓閉塞性血管炎)的病因與特徵。依其病生理,柏格氏病是中小型動脈與靜脈的節段性發炎與血栓形成,與『抽菸』關係極為密切,戒菸是首要治療,故選 A 正確。B 錯,它主要侵犯『動脈』(合併靜脈),病理核心是動脈阻塞造成肢體缺血,而非單純周邊靜脈阻塞。C 錯,好發於『下肢遠端』(足、小腿)而非上肢為主。D 錯,因肢體遠端缺血,病人常有間歇性跛行、走路時疼痛,並非走路無異狀。","柏格氏病典型:年輕、男性、重度吸菸者,肢體遠端(手指腳趾)缺血、間歇性跛行、靜止痛、指端潰瘍甚至壞疽,可合併游走性表淺靜脈炎。核心治療與衛教就一句話:戒菸(尼古丁使血管痙攣加重缺血),不戒菸任何治療效果都有限。與動脈粥狀硬化不同,它是發炎性、節段性、侵犯中小血管且好發年輕族群。保暖、避免外傷與感染以防壞疽。",[24,26,28,30],{"term":25,"count":10},"柏格氏病",{"term":27,"count":10},"與抽菸密切相關",{"term":29,"count":10},"肢體遠端動脈缺血",{"term":31,"count":10},"間歇性跛行",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-028","有關心絞痛病人接受股動脈經皮穿腔冠狀動脈血管成形術（PTCA）之術後護理，下列何者錯誤？",28,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-044","18 歲女大生因玩煙火，導致左手有部分燒痂到急診求診，對燒傷部位的立即護理處置，下列何者正確？",44,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-058","有關透析治療之適應症，下列何者不適宜？",58,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-046","有關甲狀腺機能亢進病人服用飽和碘化鉀溶液之敘述，下列何者正確？",46,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-050","有關困難梭狀桿菌相關腹瀉（Clostridium difficile associated diarrhea）之敘述，下列何者錯誤？",50,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-044","有關自體皮膚移植病人的護理措施，下列何者錯誤？",106,"2026-09-04",1788510734475]