[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-023","nurse-113-1-medical-surgical-023",113,1,23,"李先生45歲，日前因頸部右側不對稱腫塊到醫院求診，經淋巴切片檢查診斷為何杰金氏症，下列何者不是此病常見的症狀？",{"A":14,"B":15,"C":16,"D":17},"淋巴系統發現有腫大、但無壓痛情形","皮膚系統發現有搔癢情形","腸胃系統有嘔吐、排便習慣改變的情形","呼吸系統發現有呼吸困難、咳嗽咳血或胸悶","C",null,[],"本題考點在於何杰金氏淋巴瘤(Hodgkin's disease)的臨床表徵,屬反向題,須找出非典型症狀。此病以無痛性淋巴結腫大為典型表現(A),常見全身症狀含皮膚搔癢(B)、以及縱膈腔淋巴結腫大壓迫造成的呼吸困難、咳嗽(D)。腸胃道嘔吐與排便習慣改變並非此病常見症狀,而較屬腸胃道腫瘤表現,故選C。","何杰金氏淋巴瘤的病理特徵是Reed-Sternberg細胞。典型B symptoms為發燒、夜間盜汗、體重減輕,加上無痛性淋巴結腫大(常自頸部起始)與皮膚搔癢。縱膈腔侵犯可致呼吸道壓迫症狀。排便習慣改變是大腸病變的警訊,與淋巴瘤主軸不符,故為答案。",[24,27,29,31],{"term":25,"count":26},"何杰金氏淋巴瘤",4,{"term":28,"count":10},"無痛性淋巴結腫大",{"term":30,"count":10},"皮膚搔癢",{"term":32,"count":10},"B symptoms",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-024","病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",24,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-020","有關機械性人工心瓣膜特性之敘述，下列何者正確？",20,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-medical-surgical-014","下列何者為白內障最主要的病變構造？",14,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-012","有關肝硬化造成腹水的機轉，下列何者錯誤？",12,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-056","有關慢性阻塞性肺部疾病病人使用 Aminophylline 治療時之敘述，下列何者正確？①主要作用為支氣管擴張 ②副作用為心律不整和高血壓 ③靜脈注射速度不可超過 20～25 mg\u002Fmin ④血清治療濃度應維持在 20～40 μg\u002FmL 之間",56,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-medical-surgical-010","有關小腸阻塞的臨床表徵，下列何者正確？",10,108,"2026-09-04",1788510750407]