[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-111-2-內外科護理學-029","nurse-111-2-medical-surgical-029",111,2,29,"有關風濕熱的主要臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"邊緣性紅斑","凝血時間延長","多發性關節炎","皮下結節","B",null,[],"本題考點為風濕熱的主要診斷表徵(Jones criteria)。依 Jones 主要準則,風濕熱表現包含心臟炎、多發性關節炎、舞蹈症、環形紅斑(邊緣性紅斑)與皮下結節,故 A 邊緣性紅斑、C 多發性關節炎、D 皮下結節均為主要表徵(正確)。而凝血時間延長並非風濕熱特徵,風濕熱是 A 群鏈球菌感染後的免疫發炎反應,不影響凝血功能,故 B 敘述錯誤,為本題答案。","Jones criteria 五大主要準則可用口訣「JONES」記:J(Joints,多關節炎)、O(心臟,♥形似 O、指 carditis)、N(Nodules,皮下結節)、E(Erythema marginatum,環形紅斑)、S(Sydenham chorea,舞蹈症)。次要準則含發燒、關節痛、ESR\u002FCRP 上升、PR 間期延長。風濕熱本質是 A 群 β 溶血性鏈球菌咽炎後 2～3 週的第二型\u002F第三型免疫反應,抗體對心肌與瓣膜產生交叉反應(分子模擬),故最嚴重的遲發併發症是風濕性心臟病與二尖瓣狹窄。凝血功能與此機轉無關。",[24,27,30,32],{"term":25,"count":26},"風濕熱",4,{"term":28,"count":29},"Jones criteria",1,{"term":31,"count":29},"鏈球菌感染後免疫反應",{"term":33,"count":29},"環形紅斑與皮下結節",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-030","有關心包填塞（cardiac tamponade）症狀的敘述，下列何者錯誤？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-medical-surgical-046","有關膠帶等黏性產品使用之敘述，下列何者正確？",46,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-medical-surgical-028","有關燒傷病人初期的血液檢查結果，下列何者正確？",28,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-medical-surgical-032","王先生剛接受支氣管鏡檢查後返回病室，下列護理措施何者最適當？",32,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-medical-surgical-046","有關 HIV 疾病進展的敘述，下列何者錯誤？",106,"2026-09-04",1788510738496]