[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-080":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-111-2-內外科護理學-080","nurse-111-2-medical-surgical-080",111,2,80,"有關狂牛症（mad cow disease）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"又稱新型庫賈氏病，是與牛海綿狀腦病變（BSE）有關","主要因腦部奈格利氏小體（Negri body）發生基因突變","好發於較為年輕的族群，且其在臨床上的病程較長","此類病人通常以焦慮、妄想等精神症狀為最初的表現","B",null,[],"本題考點在於狂牛症（新型庫賈氏病）的致病機轉，選錯誤者。狂牛症的致病因子是「普里昂蛋白（prion）」——一種變異的錯誤摺疊蛋白質，並非腦部奈格利氏小體發生基因突變，Negri body 是狂犬病的病理特徵，故 B 敘述錯誤為答案。考點在於區分 prion 與狂犬病病理。A 正確，新型庫賈氏病與食入受牛海綿狀腦病變（BSE）污染的牛肉製品有關。C 正確，新型庫賈氏病相較典型庫賈氏病好發於較年輕族群且病程較長。D 正確，此病早期常以焦慮、憂鬱、妄想等精神症狀表現，之後才出現神經退化。","prion 為無核酸的錯誤摺疊蛋白，能誘導正常蛋白同樣錯誤摺疊堆積，致海綿狀腦病變，對一般消毒滅菌極具抗性。Negri body（奈格利氏小體）是狂犬病神經元內的嗜酸性包涵體，屬鑑別重點。庫賈氏病表現為進行性失智、肌陣攣，腦電圖有特徵性週期性放電。",[24,27,29,31],{"term":25,"count":26},"狂牛症",1,{"term":28,"count":26},"prion 普里昂蛋白",{"term":30,"count":26},"Negri body 屬狂犬病",{"term":32,"count":26},"海綿狀腦病變",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":26,"year":37,"session":26},"nurse-112-1-medical-surgical-001","罹患腦下垂體腫瘤病人，醫師建議使用伽馬刀療法，下列何者顯示病人已了解本項治療？",112,{"webId":39,"stem":40,"number":41,"year":37,"session":10},"nurse-112-2-medical-surgical-017","有關骨質疏鬆症護理指導之敘述，下列何者錯誤？",17,{"webId":43,"stem":44,"number":45,"year":37,"session":46},"nurse-112-3-medical-surgical-031","有關後天免疫缺乏症候群（AIDS）病人防護措施的敘述，下列何者正確？",31,3,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-1-medical-surgical-029","林先生因熱燒傷接受植皮手術，有關術後注意事項之敘述，下列何者正確？",29,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-115-2-medical-surgical-033","黃先生因肺癌接受右全肺切除術（pneumonectomy），下列術後護理措施，何者最適當？①需確認術後胸腔水下引流系統是完整且功能正常 ②協助執行右側肩膀及手臂運動，以防關節黏滯導致冰凍肩 ③告知術後 3～6 個月，右側胸部傷口處肌肉較無力是正常的 ④教導術後盡量採左側躺，以利於剩餘肺臟的擴張",33,115,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-107-1-medical-surgical-017","有關骨髓炎常見之症狀，下列何者錯誤？",107,"2026-09-04",1788510738978]