[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-044":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":26},"nurse-112-2-內外科護理學-044","nurse-112-2-medical-surgical-044",112,2,44,"有關牛皮癬之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"間接性發作，夏天出現冬天消失","好發部位為頭皮、手肘伸側及膝蓋呈不對稱分布","皮膚由邊緣明顯的紅斑轉變成易脫落的銀灰色鱗屑","在病灶表皮的角質層出現微小膿瘍稱為柯納氏現象（Koebner’s phenomenon）","C",null,[],"本題考點為乾癬（俗稱牛皮癬，psoriasis）的臨床特徵。考點在於乾癬典型皮損的演變：由邊界明顯的紅斑逐漸出現易剝落的銀白色（銀灰色）鱗屑，故正解為 C。A 錯誤，乾癬多為冬季惡化、夏季（日照）改善，與『夏天出現冬天消失』相反；B 錯誤，好發於頭皮、手肘伸側及膝蓋，但呈『對稱』分布而非不對稱；D 錯誤，柯本現象（Koebner's phenomenon）是指皮膚受創傷刺激處新生皮損，而非角質層微膿瘍，敘述張冠李戴，故選 C。","乾癬是表皮角質細胞過度增生（正常週期約 28 天縮短至 3–4 天）造成的慢性發炎性皮膚病，特徵為銀白色鱗屑、Auspitz 徵（刮除鱗屑後點狀出血）與 Koebner 現象（正常皮膚受傷後於該處出現新病灶）。分布對稱、好發伸側是與濕疹（好發屈側）的鑑別點。角質層內的無菌性微膿瘍稱為 Munro 微膿瘍，屬病理特徵，勿與 Koebner 現象混淆。記憶口訣『銀屑對稱伸側、冬重夏輕、刮出血點 Auspitz』。",[24,27,29,31],{"term":25,"count":26},"乾癬psoriasis",1,{"term":28,"count":26},"銀白色鱗屑",{"term":30,"count":26},"Koebner現象",{"term":32,"count":26},"對稱伸側分布與冬季惡化",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-045","有關電燒傷所造成的身體損傷，下列敘述何者正確？",45,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",11,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-005","缺血性腦中風使用血栓溶解劑（rt-PA）治療的敘述，下列何者錯誤？①可以重新打通阻塞血管 ②有動脈瘤或動靜脈畸形者不適用 ③必須在中風 8 小時內使用 ④嚴重肝病病人不適用",5,3,{"webId":49,"stem":50,"number":47,"year":51,"session":26},"nurse-115-1-medical-surgical-003","有關腦膜炎病人接受腰椎穿刺檢查，下列敘述何者錯誤？",115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-medical-surgical-027","毛地黃中毒最常出現的症狀，下列何者正確？",27,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-medical-surgical-061","有關鹿角結石之敘述，下列何者錯誤？",61,107,"2026-09-04",1788510747664]