[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-050","nurse-111-1-medical-surgical-050",111,1,50,"有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","B",null,[],"本題考點為類風濕性關節炎（RA）的正確敘述。①RA 手部常見掌指關節尺側偏斜（ulnar deviation），正確；③X 光可見關節腔變窄、骨侵蝕等變化，正確，故①③為解答 B。②錯在 RA 為「休息後、晨起僵硬」，活動後反而緩解，非活動後僵硬；④錯在 RA 關節侵犯呈「對稱性」，不對稱性多見於退化性關節炎，故含②④的選項排除。判斷依據為 RA 三大特徵：對稱性、晨僵超過一小時、關節破壞變形。","RA 屬自體免疫性滑膜炎，滑膜增生形成血管翳（pannus）侵蝕軟骨與骨，導致關節腔變窄、骨侵蝕、天鵝頸與鈕釦孔變形及尺側偏斜。晨僵超過 1 小時、對稱性小關節（掌指、近端指間、腕）受侵是與退化性關節炎的重要區別；後者為不對稱、負重關節、晨僵短暫。記憶：RA「對稱、晨僵久、活動後緩解、對稱變形」；OA 反之。",[24,27,30,32],{"term":25,"count":26},"類風濕性關節炎",10,{"term":28,"count":29},"尺側偏斜",2,{"term":31,"count":29},"晨間僵硬",{"term":33,"count":10},"對稱性關節侵犯",[35,39,43,47,52,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-051","有關鞏皮症之敍述，下列何者正確？",51,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-067","下列何者可能出現膀胱容量增加？",67,{"webId":44,"stem":45,"number":10,"year":46,"session":29},"nurse-112-2-medical-surgical-001","腰椎椎間盤突出接受椎板切除術後之護理指導，下列何者錯誤？",112,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-113-2-medical-surgical-019","下列何者不是骨質疏鬆症之危險因素？",19,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-023","服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",23,114,3,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-1-medical-surgical-067","有關甲狀腺風暴的臨床表徵，下列何者正確？",106,"2026-09-04",1788510734663]