[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-030":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-112-1-內外科護理學-030","nurse-112-1-medical-surgical-030",112,1,30,"下列何者為骨性關節炎的症狀和徵象？",{"A":14,"B":15,"C":16,"D":17},"35 歲女性，雙手呈現尺側偏移及天鵝頸","45 歲男性，全身倦怠、肌肉痠痛、發燒、體重減輕","30 歲女性，對稱性的關節受侵犯","40 歲男性，X 光顯示關節間隙減少及骨贅形成","D",null,[],"本題考點在於骨性(退化性)關節炎與類風濕性關節炎的鑑別。依病理特徵,退化性關節炎屬軟骨磨損的退化性病變,X光可見關節間隙變窄與骨贅(骨刺)形成,好發於中老年負重關節,故40歲男性X光顯示關節間隙減少及骨贅形成最符合,答案為D。A雙手尺側偏移與天鵝頸畸形、C對稱性關節侵犯,皆為類風濕性關節炎特徵;B全身倦怠、發燒、體重減輕屬全身性發炎表現,亦非退化性關節炎,故皆錯。","OA(退化性)對比RA(類風濕):OA=非對稱、負重大關節、活動後痛、晨僵短(\u003C30分)、X光見骨贅與間隙變窄、Heberden\u002FBouchard結節;RA=對稱、小關節(掌指、近端指間)、晨僵長(>1小時)、全身症狀、尺側偏移與天鵝頸、類風濕因子陽性。用「對稱與全身症狀」即可快速分辨。",[24,27,29,31],{"term":25,"count":26},"退化性關節炎OA",2,{"term":28,"count":26},"類風濕性關節炎鑑別",{"term":30,"count":10},"骨贅與關節間隙變窄",{"term":32,"count":10},"天鵝頸與尺側偏移",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-031","靜脈注射不當造成血管紅、腫、痛是屬於下列何種血管問題？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-047","下列何者屬於主動性後天免疫？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",11,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-009","有關食道靜脈曲張出血病人的護理指導，下列何者不適當？",9,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-013","有關因 B、C 型肝炎感染後導致肝硬化之類型，下列何者正確？",13,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-047","一位 28 歲的發燒男性病人，護理師抽取血液培養過程中不慎針扎，病人之愛滋病毒、B 型肝炎病毒、 C 型肝炎病毒抗體皆呈陽性。下列敘述何者錯誤？",107,"2026-09-04",1788510741960]