[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-070","nurse-112-1-medical-surgical-070",112,1,70,"陳小姐因甲狀腺機能亢進，接受抗甲狀腺藥物硫醯胺類（thioamides）與碘製劑（iodine）治療，有關其藥物治療之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"給與大劑量硫醯胺類藥物，隨著血清 T3 和 T4 數值降低而減量，待正常就可以停藥","碘製劑有顆粒球與血小板減少的副作用，第一次給藥前應先測白血球與血小板數目","服用硫醯胺類藥物的目的是為了減少甲狀腺腺體的血管分布","碘製劑使用不宜超過 2 週，以免造成甲狀腺逸脫，使大量甲狀腺素進入循環加重症狀","D",null,[],"本題考點在於甲狀腺機能亢進使用硫醯胺類與碘製劑的藥理原則。正確為 D：碘製劑使用一般不宜超過 1～2 週，長期使用會出現甲狀腺逸脫（escape）現象，反使大量甲狀腺素釋入循環而加重症狀，故 D 正確。A 錯誤，硫醯胺類須依血中 T3、T4 調整並持續治療較長療程，不能一正常即貿然停藥；B 錯誤，顆粒球缺乏與血球減少是硫醯胺類（非碘製劑）的重要副作用，用藥前應測白血球；C 錯誤，減少甲狀腺血管分布、使腺體變硬利於手術的是碘製劑（術前準備），非硫醯胺類。","抗甲亢用藥分工要清楚：硫醯胺類（PTU、Methimazole）抑制甲狀腺素合成，主要副作用為顆粒性白血球缺乏（agranulocytosis），須衛教出現發燒喉痛立即檢查血球；碘製劑（Lugol's、SSKI）短期使用可抑制荷爾蒙釋放並減少腺體血流，作為甲狀腺手術前準備，但長期會逸脫失效。PTU 另可阻斷周邊 T4 轉 T3。可連結甲狀腺風暴的緊急處置藥物順序。",[24,27,29,31,33],{"term":25,"count":26},"甲狀腺機能亢進",9,{"term":28,"count":10},"碘製劑短期使用",{"term":30,"count":10},"甲狀腺逸脫現象",{"term":32,"count":10},"硫醯胺類顆粒球缺乏",{"term":34,"count":10},"術前減少腺體血流",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-071","承上題，陳小姐近期藥物治療反應不佳而入院接受甲狀腺切除術，有關甲狀腺切除手術，下列何者正確？①為維持正常的甲狀腺功能，一般採用次全甲狀腺切除 ②出血、聲門水腫、急性呼吸道阻塞為常見的術後合併症 ③術後聲音沙啞是因雙側喉返神經受傷所致 ④術後需評估病人有無肌肉抽搐之甲狀腺功能低下表徵",71,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-3-medical-surgical-007","若母親的 HBsAg 與 HBeAg 皆為陽性，其所生的新生兒於出生 24 小時內需接受下列何種注射？",7,3,{"webId":46,"stem":47,"number":10,"year":48,"session":49},"nurse-113-2-medical-surgical-001","腦瘤病人接受放射線治療，下列敘述何者正確？①臨床上常用 I 125 經由立體定位手術直接植入腫瘤進行治療 ②可以在手術後立即合併使用放射線治療，以促進治療效果 ③手術後通常以單次大劑量放射線治療為主 ④可以與化學療法合併使用，適用於惡性腦瘤和轉移癌之治療",113,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-114-2-medical-surgical-049","有關成人高品質胸部按壓的敘述，下列何者正確？",49,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-053","下列何者是肺氣腫造成氧氣供應減少的主要原因？",53,106,{"webId":61,"stem":62,"number":43,"year":63,"session":49},"nurse-107-2-medical-surgical-007","有關阿茲海默氏症病人的臨床表徵，下列何者正確？①短期記憶缺失 ②長期記憶缺失 ③易怒 ④失去定向力",107,"2026-09-04",1788510742319]