[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-043":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-043","nurse-111-1-medical-surgical-043",111,1,43,"有關前列腺癌之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"藥物治療大多使用雄性素","放射線治療時最常使用鈷 60 放射源","鹼性磷酸酶值過高與前列腺癌之診斷有關","前列腺特異性抗原（PSA）濃度可做為治療效果的參考","D",null,[],"本題考點為攝護腺癌的正確敘述。選項D指攝護腺特異性抗原（PSA）濃度可作為治療效果與追蹤的參考指標，符合臨床應用，故選 D。A錯在攝護腺癌屬雄性素依賴性腫瘤，藥物治療是「抗雄性素／降雄性素」而非給予雄性素；B錯在放射治療常用的近接治療放射源多為碘-125 或鈀-103，非鈷 60；C錯在攝護腺癌相關且會升高者為「酸性磷酸酶（PAP）與 PSA」，鹼性磷酸酶升高多反映骨轉移或肝膽問題而非診斷依據。","攝護腺癌生長受睪固酮驅動，故荷爾蒙治療以 LHRH 促效劑或抗雄性素阻斷雄性素路徑，甚至行去勢。PSA 為器官特異但非癌症特異，用於篩檢、治療反應追蹤與復發偵測；治療後 PSA 應下降，回升提示復發。骨骼為常見轉移處，此時鹼性磷酸酶與骨掃描可反映骨轉移。記憶：攝護腺癌「PSA 追蹤、抗雄性素、易骨轉移」三重點。",[24,27,29,31],{"term":25,"count":26},"攝護腺癌",3,{"term":28,"count":10},"PSA 攝護腺特異性抗原",{"term":30,"count":10},"雄性素依賴性腫瘤",{"term":32,"count":10},"荷爾蒙治療",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-044","有關決定膚色的黑色素細胞主要分布在下列那一層？",44,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-060","王先生因慢性腎臟病正服用血管收縮素轉化酶抑制劑（ACEI），有關 ACEI 的敘述，下列何者錯誤？.",60,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-074","下列何種情況可能會導致特魯索氏（Trousseau）與沃斯德克氏（Chvostek）徵象皆呈陽性反應？①低血鈣 ②低血鉀 ③低血糖 ④副甲狀腺功能低下症",74,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-medical-surgical-012","有關腔隙症候群的症狀，下列敘述何者錯誤？①失去尖鈍或兩點辨識力 ②患肢末梢脈搏減弱 ③微血管充填時間大於 3 秒 ④皮膚上出現出血斑點",12,113,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-3-medical-surgical-016","38 歲孕齡婦女，診斷為下肢深部靜脈栓塞，接受抗凝血劑 Heparin 注射治療，下列敘述何者最不適當？",16,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-060","有關女性尿道炎發生原因之機率，下列何者最低？",106,"2026-09-04",1788510734602]