[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-015":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":10},"nurse-111-2-內外科護理學-015","nurse-111-2-medical-surgical-015",111,2,15,"王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"表示感染源為血液污染","表示曾經感染 A 型肝炎","表示目前是 A 型肝炎急性期","表示對 A 型肝炎已無免疫力","B",null,[],"本題考點在A型肝炎血清學標記的判讀。Anti-HAV分IgM與IgG兩型：IgM anti-HAV代表近期急性感染，IgG anti-HAV則於感染後期出現並長期存在，代表曾經感染並已具保護性免疫力，故IgG anti-HAV陽性選B。A錯誤，A型肝炎主要經糞口途徑傳染而非血液污染；C錯誤，急性期指標是IgM而非IgG；D錯誤，IgG陽性代表已具免疫力，而非無免疫力。故選B。","A型肝炎為RNA病毒、糞口傳染，多為自限性、不會慢性化。血清學時序：IgM anti-HAV先升(急性期診斷指標)，數月後消退；IgG anti-HAV隨後升起並終生存在(代表既往感染或接種後免疫)。對比B肝標記(HBsAg、anti-HBs、HBcAb)更複雜，是常見鑑別考點。",[24,26,29,31],{"term":25,"count":10},"糞口傳染",{"term":27,"count":28},"A型肝炎血清學",1,{"term":30,"count":28},"IgM vs IgG anti-HAV",{"term":32,"count":28},"保護性免疫",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-016","白老太太 76 歲，有高血壓及糖尿病，配戴假牙，下列何者不是預防齲齒的護理指導？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-medical-surgical-032","下列何者最適合接受機械性人工心瓣膜置換術？",32,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-046","熱燒傷病人進行水療法時之護理措施，下列何者最適宜？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-014","有關後天免疫缺乏症候群（AIDS）之敘述，下列何者錯誤？",14,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-medical-surgical-018","有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",18,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-032","下列何種檢查沒有輻射危害？",106,"2026-09-04",1788510738387]