[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-012":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-112-3-內外科護理學-012","nurse-112-3-medical-surgical-012",112,3,12,"下列何者為診斷骨髓炎最準確的方法？",{"A":14,"B":15,"C":16,"D":17},"骨密度測量","關節穿刺術","關節腔鏡檢查","骨骼組織切片","D",null,[],"本題考點在於骨髓炎的確診方法。依骨髓炎診斷原則，骨骼組織切片（骨活檢）可直接取得病灶組織進行病理與細菌培養，能明確致病菌並確立診斷，是最準確的方法，故選 D。判斷關鍵是「切片＋培養為確診黃金標準」。A 骨密度測量用於評估骨質疏鬆，與感染無關。B 關節穿刺術抽取關節液主要用於診斷關節炎或化膿性關節炎，非骨髓感染本身。C 關節腔鏡檢查觀察關節內結構，也非骨髓炎的確診工具。骨切片同時能指引後續抗生素選擇。","骨髓炎的診斷須結合臨床、影像與微生物學：早期 X 光常無變化（約發病 10–14 天後才顯現骨破壞），MRI 對早期偵測與範圍評估最敏感，核醫骨掃描亦具高敏感度。然而確立診斷與致病菌仍以骨切片組織培養為黃金標準，據此可精準投藥。最常見致病菌為金黃色葡萄球菌。治療需長期（常 4–6 週以上）靜脈注射抗生素，必要時外科清創。",[24,27,29,31],{"term":25,"count":26},"骨髓炎",5,{"term":17,"count":28},1,{"term":30,"count":28},"組織培養",{"term":32,"count":28},"確診黃金標準",[34,38,44,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-013","病人因骨腫瘤接受右腳膝上截肢的照護措施，下列何者最適當？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-009","有關急性膽囊炎病人的疼痛評估與處置，下列何者正確？",9,113,2,{"webId":45,"stem":46,"number":10,"year":47,"session":28},"nurse-114-1-medical-surgical-003","有關頭部外傷相關合併症的敘述，下列何者正確？",114,{"webId":49,"stem":50,"number":28,"year":51,"session":43},"nurse-115-2-medical-surgical-001","腦下垂體腫瘤病人接受經蝶骨腫瘤切除術後第 4 天，持續有流鼻水、頭痛現象，下列處置之敘述何者正確？",115,{"webId":53,"stem":54,"number":55,"year":56,"session":43},"nurse-106-2-medical-surgical-075","有關腸病毒之敘述，下列何者錯誤？",75,106,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-108-1-medical-surgical-029","能降低冠狀動脈疾病病人心肌耗氧量的藥物，下列何者錯誤？",29,108,"2026-09-04",1788510744858]