[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-112-2-內外科護理學-009","nurse-112-2-medical-surgical-009",112,2,9,"下列何者可用來做為大腸癌手術後是否復發的參考指標？",{"A":14,"B":15,"C":16,"D":17},"α－胎兒蛋白（AFP）","癌胚胎抗原（CEA）","C－反應蛋白（CRP）","腫瘤壞死因子（TNF）","B",null,[],"本題考點是大腸癌的腫瘤標記與術後追蹤指標。依腫瘤標記臨床應用，癌胚胎抗原（CEA）雖不具早期篩檢專一性，但在大腸直腸癌術前偏高、術後應下降，若追蹤中再度升高常提示腫瘤復發或轉移，是評估治療成效與復發的重要參考，故選 B。α-胎兒蛋白（AFP，A）主要用於肝細胞癌與生殖細胞瘤的追蹤，非大腸癌指標；C-反應蛋白（CRP，C）是非專一性的急性發炎反應物，反映感染或發炎程度，不能判斷癌症復發；腫瘤壞死因子（TNF，D）是發炎與免疫調節的細胞激素，並非大腸癌的臨床追蹤標記。","腫瘤標記的核心觀念是「監測趨勢重於單次數值」，尤其不適合當篩檢工具而適合追蹤治療反應與偵測復發。CEA 由胚胎期腸胃道細胞分泌，成人若大腸直腸癌會再度表現，抽菸者亦可能輕度偏高，故解讀需看動態變化。可整理常見腫瘤標記對應：AFP→肝癌、生殖細胞瘤；CA-125→卵巢癌；CA-19-9→胰臟癌；PSA→攝護腺癌；CA-15-3→乳癌；CEA→大腸直腸癌（亦見於胃、胰、肺癌）。記憶口訣「大腸看 CEA、肝癌看 AFP、卵巢看 125、胰臟看 19-9」有助快速作答。",[24,27,30,32],{"term":25,"count":26},"腫瘤標記",7,{"term":28,"count":29},"大腸癌",1,{"term":31,"count":29},"癌胚胎抗原(CEA)",{"term":33,"count":29},"術後復發追蹤",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-010","李先生因胃癌接受次全胃切除手術（Billroth II），術後開始進食稀飯，約 20 分鐘出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",10,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-026","病人於化學治療後抽血報告顯示 WBC 3,000\u002FμL、Platelet 30,000\u002FμL、Hb 12g\u002FdL，下列照護措施何者最適宜？",26,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-020","有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",20,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-medical-surgical-018","病人因身體多處不明原因出血進行骨髓抽吸檢查，下列敘述何者最適當？①檢查目的在了解骨髓組織、造血組織是否正常 ②可診斷是否為白血病 ③大多由脛骨進行抽取 ④大多需全身麻醉進行",18,114,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-106-1-medical-surgical-072","有關甲狀腺機能亢進之護理指導，下列何者錯誤？",72,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-medical-surgical-026","有關中耳手術後病人之護理指導，下列何者錯誤？",107,"2026-09-04",1788510747340]