[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-034":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-112-2-內外科護理學-034","nurse-112-2-medical-surgical-034",112,2,34,"張小姐，42 歲，診斷為乳癌第二期，日前進行癌症治療，有關腫瘤標記之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"腫瘤標記為一系列與癌症相關、可測量之特殊化學物質","CA-15-3 為早期鑑別診斷乳癌發生的標記","腫瘤標記不建議用於篩檢、輔助診斷或預測預後","對於較早期之癌症敏感度很低","B",null,[],"本題考點在於腫瘤標記（tumor marker）的臨床定位。依腫瘤標記的定義，它是與癌症相關、可在血液或體液中測量的特殊化學物質，故 A 正確；其對早期、小體積腫瘤敏感度低、且特異性不足，因此不建議單獨用於篩檢、輔助診斷或預測預後，D 與 C 皆為正確敘述。錯誤敘述為 B：CA-15-3 主要用於乳癌治療反應追蹤與復發監測，並非早期鑑別診斷乳癌的標記，早期乳癌診斷仍以乳房攝影、超音波與病理切片為主，故選 B。CA-15-3 於早期常不升高，用來「早期鑑別診斷」會漏診。","腫瘤標記的核心限制是敏感度與特異性皆不足以作為診斷金標準：許多良性疾病（如乳腺炎、肝炎）也會使數值上升，早期腫瘤又常不分泌足量標記。CA-15-3 屬於 MUC-1 醣蛋白家族，臨床價值在於「已確診乳癌」後追蹤療效與偵測復發，數值變化趨勢比單次絕對值更有意義。可對比記憶：CEA（大腸癌追蹤）、AFP（肝癌）、CA-125（卵巢癌）、PSA（攝護腺癌），皆屬追蹤與監測用途而非篩檢診斷。口訣「標記追療效、不做初篩用」。",[24,27,30,33],{"term":25,"count":26},"腫瘤標記",7,{"term":28,"count":29},"乳癌",5,{"term":31,"count":32},"CA-15-3",1,{"term":34,"count":32},"敏感度與特異性",[36,40,44,48,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-035","王先生，67 歲，體重 90 公斤，BMI：30 kg\u002Fm 2 ，平時菸酒不離手且愛吃醃漬食品，下列護理措施何者不適宜？",35,{"webId":41,"stem":42,"number":32,"year":43,"session":32},"nurse-113-1-medical-surgical-001","有關多發性硬化症之診斷檢查，下列何者錯誤？",113,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-113-2-medical-surgical-045","有關胰島素的使用，下列何者錯誤？",45,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-114-3-medical-surgical-043","有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",43,114,3,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-017","有關骨折癒合及治療之敘述，下列何者錯誤？",17,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-medical-surgical-051","一位 23 歲女性主訴最近食慾不振、疲倦、發燒及體重減輕，經身體評估發現口腔潰瘍、左右膝關節有壓痛、腫脹，另抗核性抗體（ANA）呈現陽性，下列何者為其最可能之診斷？",51,107,"2026-09-04",1788510747561]