[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-112-1-內外科護理學-036","nurse-112-1-medical-surgical-036",112,1,36,"有關異體周邊血液幹細胞移植之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"捐贈者捐贈時不需施打白血球生成激素","受贈者的人類白血球抗原（HLA）配對不需完全吻合","宿主較易有慢性移植物抗宿主反應（GVHD）","宿主不易受病毒感染","C",null,[],"本題考點在於異體周邊血液幹細胞移植的特性。依免疫機轉,異體移植中捐贈者與受贈者基因不完全相同,受贈者(宿主)較易發生慢性移植物抗宿主反應(GVHD),故正確答案為C。A捐贈者採集前需施打白血球生成激素(G-CSF)動員幹細胞至周邊血,故A錯;B異體移植需人類白血球抗原(HLA)盡量吻合以降低排斥,故B錯;D因免疫抑制與GVHD,宿主反而易受病毒(如CMV)感染,故D錯。","GVHD是異體移植特有:植入的捐贈者T細胞攻擊受贈者組織,好發皮膚、肝、腸胃道。自體移植無GVHD但復發率較高。異體移植需HLA配對,捐贈前以G-CSF動員周邊幹細胞。移植後長期免疫低下,CMV、EBV等病毒再活化為重要併發症,須監測與預防。",[24,26,28,30],{"term":25,"count":10},"異體幹細胞移植",{"term":27,"count":10},"移植物抗宿主反應GVHD",{"term":29,"count":10},"HLA配對",{"term":31,"count":10},"G-CSF幹細胞動員",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-037","周女士，52 歲，本身有高血壓及乳癌家族史，有抽菸，在一次回診時表示自己年紀越來越大，很擔心會跟媽媽一樣罹癌，下列建議何者錯誤？",37,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-053","王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？",53,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-017","有關心肌梗塞後性生活的建議事項，下列敘述何者正確？①應該儘量避免以免再次發作 ②能量消耗大約與上下兩層樓相當 ③飽餐後或酒後比較適合性行為 ④性行為事後應預防性服用NTG ⑤應在熟悉的環境與伴侶進行以避免過度緊張與刺激 ⑥環境的室溫勿太冷或太熱",17,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-medical-surgical-015","病人左耳聽力正常，右耳有聽力障礙，以韋伯試驗（Weber test）發現右耳比較大聲，再以任內試驗（Rinne test）發現左耳空氣傳導＞骨傳導、右耳空氣傳導≦骨傳導，下列何者是病人右耳最可能的病變位置？ ①外耳 ②中耳 ③內耳 ④耳蝸神經",15,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-019","評估膝關節內是否有少量液體積存之方法，下列何者正確？",19,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-053","當發現胸腔術後病人的胸腔水下引流系統的水封瓶內出現大量氣泡時之處置，下列何者最適當？",107,"2026-09-04",1788510742018]