[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-112-2-內外科護理學-043","nurse-112-2-medical-surgical-043",112,2,43,"有關原發性皮膚病變之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"結節是由皮膚隆起的堅實性病變，直徑小於 1 公分","丘疹為皮膚表面硬塊，侷限於皮下不會有皮膚隆起，直徑大於 1 公分","玫瑰疹為一種暫時性、急性、侷限性及無特定大小的表皮浮腫和微血管擴張情形","紫斑是皮膚組織內出血所致的紫紅色斑塊，壓下不會變色","D",null,[],"本題考點為原發性皮膚病變（primary skin lesion）的定義辨識。錯誤敘述經比對後正解為 D 的『紫斑壓下不會變色』實為正確描述——依定義紫斑（purpura）是皮下組織出血所致，壓診不褪色（不變白），此點正確故為本題正解。A 錯誤，結節（nodule）直徑通常大於 1 公分且深及真皮或皮下，非小於 1 公分；B 錯誤，丘疹（papule）為皮膚表面隆起的實質病變、直徑小於 1 公分，並非不隆起且大於 1 公分；C 描述的暫時性浮腫與微血管擴張較符合風疹塊（wheal）而非玫瑰疹，故選 D。","區辨皮膚原發病變的關鍵在『大小、深度、內容物』：斑（macule）平坦、丘疹＜1cm 隆起、結節＞1cm 且較深、囊泡（vesicle）＜1cm 含清液、大疱（bulla）＞1cm、風疹塊為暫時性真皮水腫。紫斑屬出血性病變，與紅斑（erythema，血管擴張、壓之退色）最大差別在『壓診是否褪色』：出血性病變壓不褪色，血管性病變壓之變白，此為臨床鑑別瘀斑與紅疹的實用技巧。記住『壓不退＝出血』即可鎖定紫斑敘述正確。",[24,26,29,31],{"term":25,"count":10},"原發性皮膚病變",{"term":27,"count":28},"紫斑purpura壓診不褪色",1,{"term":30,"count":28},"丘疹與結節大小定義",{"term":32,"count":28},"風疹塊wheal",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-044","有關牛皮癬之敘述，下列何者正確？",44,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-medical-surgical-010","有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",10,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-004","有關癲癇病人的敘述，下列何者錯誤？",4,3,{"webId":49,"stem":50,"number":10,"year":51,"session":28},"nurse-115-1-medical-surgical-002","有關重症肌無力之敘述，下列何者正確？①屬於自體免疫疾病，體內產生攻擊Ach接受器的抗體           ② 第一型僅侵犯眼肌，造成複視和眼瞼下垂          ③四肢肌肉的無力發生在遠端和下肢且為不對稱   ④當侵犯肋間肌，通氣容積會減少，嚴重呼吸困難致死",115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-medical-surgical-026","懷疑病人罹患心內膜炎時，護理師最需要收集的資料，下列何者正確？",26,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-medical-surgical-060","有關腎移植後產生的排斥現象，下列何者預後最佳？",60,107,"2026-09-04",1788510747654]