[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-111-1-內外科護理學-051","nurse-111-1-medical-surgical-051",111,1,51,"有關鞏皮症之敍述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"又稱「進行性系統性硬化症」，好發於男性","常發生雷諾氏症候群（Raynaud’s syndrome）","血液檢查 γ–球蛋白增加，主要是 IgA 增加","侵犯臉部，造成臉部表情豐富現象","B",null,[],"本題考點為鞏皮症（硬皮症，systemic sclerosis）的正確敘述。選項B指鞏皮症常伴發雷諾氏症候群（Raynaud's syndrome），因血管病變致肢端遇冷變白變紫，是本病早期且常見的表現，故選 B。A錯在鞏皮症好發於「女性」而非男性；C錯在其球蛋白增加主要是「IgG」而非 IgA；D錯在膠原沉積使皮膚硬化緊繃，造成臉部表情僵硬、面具臉，而非表情豐富。判斷依據為鞏皮症的血管痙攣（雷諾氏）與皮膚纖維化兩大核心特徵。","鞏皮症以纖維母細胞過度合成膠原、血管內皮受損與自體免疫為病理三主軸，導致皮膚與內臟（食道、肺、腎、心）纖維化。雷諾氏現象常為最早症狀；CREST 症候群（鈣化、雷諾氏、食道功能異常、指端硬化、微血管擴張）為局限型代表。抗體上，瀰漫型多見抗 Scl-70，局限型多見抗中節（anti-centromere）。記憶：鞏皮症＝女性好發、雷諾氏、面具臉、內臟纖維化。",[24,27,29,31],{"term":25,"count":26},"好發女性",2,{"term":28,"count":10},"鞏皮症 systemic sclerosis",{"term":30,"count":10},"雷諾氏症候群",{"term":32,"count":10},"皮膚纖維化",[34,38,42,46,51,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-052","有關使用呼氣末期陽壓（PEEP）治療急性呼吸窘迫症候群的主要目的，下列何者正確？",52,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-medical-surgical-068","有關甲狀腺風暴的敘述，下列何者錯誤？",68,{"webId":43,"stem":44,"number":26,"year":45,"session":26},"nurse-112-2-medical-surgical-002","有關重症肌無力病人之藥物使用護理指導，下列敘述何者正確？",112,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-113-2-medical-surgical-020","有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",20,113,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-114-3-medical-surgical-024","有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",24,114,3,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-1-medical-surgical-068","有關結腸癌之敘述，下列何者錯誤？",106,"2026-09-04",1788510734674]