[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-042":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-042","nurse-112-1-medical-surgical-042",112,1,42,"下列那一類白血病的預後最好？",{"A":14,"B":15,"C":16,"D":17},"T 細胞型急性淋巴性","B 細胞型急性淋巴性","血小板缺乏的慢性淋巴性","芽細胞期慢性骨髓性","A",null,[],"本題考點是四種白血病的預後比較。C『慢性淋巴性白血病合併血小板缺乏』代表已進展至晚期(血小板低下屬Rai分期後期),D『慢性骨髓性白血病芽細胞期(blast crisis)』為疾病終末急性轉化期,兩者預後皆差。急性淋巴性白血病(ALL)整體對治療反應佳、可治癒率高;但成熟B細胞型ALL(即Burkitt\u002FL3型)侵襲性強、預後較差,相對之下T細胞型ALL預後較成熟B細胞型為佳,故在四選項中以A『T細胞型急性淋巴性』預後最好,選A。","解題須分辨兩層:①急性vs慢性的『分期進展』:CLL合併血小板低下=晚期、CML芽細胞期=終末轉化,皆屬預後不良;②ALL亞型間差異:此題將B細胞型解讀為『成熟B細胞(Burkitt型\u002FL3)』,其增殖快、預後較差,故答案取T細胞型。須留意此判定有其特定脈絡——在兒童ALL中,前驅B細胞型(common ALL)反而是預後最佳者;若題意指前驅B型,答案會不同。因此本題把握度標中等,重點記憶為:『白血病預後看分期(慢性晚期、CML芽細胞期最差)+ALL成熟B型(Burkitt)侵襲性高預後差』。",[24,26,28,30],{"term":25,"count":10},"白血病預後比較",{"term":27,"count":10},"急性淋巴性白血病(ALL)亞型",{"term":29,"count":10},"成熟B細胞型(Burkitt)預後差",{"term":31,"count":10},"CML芽細胞期(blast crisis)",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-043","護理之家發生火災，許多住民吸入性灼傷，下列緊急處置，何者正確？",43,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-059","有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",59,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-023","李先生45歲，日前因頸部右側不對稱腫塊到醫院求診，經淋巴切片檢查診斷為何杰金氏症，下列何者不是此病常見的症狀？",23,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-medical-surgical-021","有關瀕死期癌症病人之臨終關懷，下列敘述何者正確？",21,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-025","有關心包膜填塞手術治療後之護理措施，下列何者最不需要？",25,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-059","有關服用抗結核菌藥物（Rifampin）病人尿液之顏色，下列何者正確？",107,"2026-09-04",1788510742073]