[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-3-內外科護理學-025","nurse-112-3-medical-surgical-025",112,3,25,"有關何杰金氏病（Hodgkin’s Disease）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"安阿伯（Ann Arbor）臨床分期系統第 II 期指侵犯橫膈膜兩側的淋巴結區域","淋巴結切片可能發現梨特史登堡氏細胞（Reed-Sternberg Cell, RS 細胞）","常見症狀包含吞嚥困難、肝脾腫大","血清生化值可發現 C 反應性蛋白（CRP）、鈣離子下降","B",null,[],"本題考點在於何杰金氏病的病理特徵與臨床分期。依病理診斷準則,淋巴結切片發現梨特史登堡氏細胞(Reed-Sternberg cell)是何杰金氏病的診斷指標,故B正確。A錯在安阿伯(Ann Arbor)臨床分期第II期指侵犯橫膈膜同側的兩個以上淋巴結區域,侵犯橫膈膜兩側屬第III期。C錯在吞嚥困難、肝脾腫大非早期常見症狀,典型表現為無痛性頸部淋巴結腫大及B症狀(發燒、盜汗、體重減輕)。D錯在CRP多為上升,鈣離子變化非其診斷特徵。","RS細胞為雙核或多核的巨大細胞,外觀形似「貓頭鷹眼」,是何杰金氏病與非何杰金氏淋巴瘤鑑別的關鍵。記憶上可用「Hodgkin=有RS細胞、由頸部往下單一方向連續擴散」對比非何杰金氏的跳躍式散佈。Ann Arbor分期口訣:I單一區、II同側多區、III跨橫膈兩側、IV瀰漫器官。",[24,27,29,31],{"term":25,"count":26},"何杰金氏病",2,{"term":28,"count":26},"Ann Arbor分期",{"term":30,"count":26},"B症狀",{"term":32,"count":33},"梨特史登堡氏細胞(RS細胞)",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-medical-surgical-022","有關何杰金氏淋巴瘤的敘述，下列何者正確？",22,113,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-114-1-medical-surgical-016","進行心臟復健時如出現活動耐力不足時應停止，下列何者不是其判斷依據？",16,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-medical-surgical-014","有關使用耳滴劑的注意事項，下列何者正確？①使用前搖動藥水使其均勻 ②躺向健側使患耳朝上 ③滴耳藥前要先滴生理食鹽水 ④滴藥後以棉棒擦拭耳內多餘藥水",14,115,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-107-1-medical-surgical-008","Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",8,107,{"webId":60,"stem":61,"number":62,"year":63,"session":33},"nurse-108-1-medical-surgical-042","有關非何杰金氏淋巴瘤之治療，下列何者正確？",42,108,"2026-09-04",1788510744985]