[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-113-1-內外科護理學-050","nurse-113-1-medical-surgical-050",113,1,50,"有關漢生病（Hansen’s disease）俗稱痲瘋（leprosy）的照護措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"最常侵犯腸胃系統，應加強評估消化功能與營養狀態","照護時採接觸及呼吸道隔離","目前無治療藥物，採支持療法","皮膚病變僅出現在臉部","B",null,[],"本題考點在於漢生病（Hansen's disease，痲瘋）的致病特性與隔離照護。依微生物學，漢生病由麻風桿菌（Mycobacterium leprae）引起，主要侵犯皮膚與周邊神經，並可經呼吸道飛沫傳播，故照護採接觸及呼吸道隔離，B 正確。A「最常侵犯腸胃系統」錯誤，其主要侵犯皮膚與周邊神經，造成感覺喪失與肢體變形，非消化系統。C「目前無治療藥物、僅支持療法」錯誤，多重藥物治療（MDT，含 dapsone、rifampicin、clofazimine）已能有效治癒。D「皮膚病變僅出現在臉部」錯誤，病變可廣泛分布於全身皮膚與神經走向處，不限臉部。故正解為 B。","病生理與治療延伸：麻風桿菌偏好低溫的周邊神經與皮膚，破壞神經導致痛溫覺喪失，病人因不覺疼痛反覆受傷、續發感染而致肢端缺損。臨床分型從少菌型（tuberculoid）到多菌型（lepromatous），後者傳染性較高。WHO 推行多重藥物治療（MDT）可阻斷傳染並治癒，強調早期診斷與規則服藥。隔離重點在多菌型與治療初期的呼吸道飛沫防護，並非終身隔離。可連結分枝桿菌與結核的抗酸染色特性複習。",[24,26,28,30],{"term":25,"count":10},"漢生病麻風桿菌",{"term":27,"count":10},"皮膚與周邊神經侵犯",{"term":29,"count":10},"接觸及呼吸道隔離",{"term":31,"count":10},"多重藥物治療MDT",[33,37,42,47,52,56],{"webId":34,"stem":35,"number":10,"year":9,"session":36},"nurse-113-2-medical-surgical-001","腦瘤病人接受放射線治療，下列敘述何者正確？①臨床上常用 I 125 經由立體定位手術直接植入腫瘤進行治療 ②可以在手術後立即合併使用放射線治療，以促進治療效果 ③手術後通常以單次大劑量放射線治療為主 ④可以與化學療法合併使用，適用於惡性腦瘤和轉移癌之治療",2,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-047","有關敗血性休克導致的系統性炎性反應症候群（SIRS）其診斷的四個條件中，需含二項或以上，下列條件何者正確？①體溫大於 38℃或小於 36℃ ②心跳小於 60 次／分 ③呼吸速率大於 20 次／分，或 PaCO 2 小於 40 mmHg ④白血球大於 12000\u002FuL 或小於 4000\u002FuL",47,3,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"nurse-114-2-medical-surgical-041","高小姐的動脈血液氣體分析結果為 pH 7.48、PaCO 2 48 mmHg、HCO 3- 30 mmHg、PaO 2 92 mmHg，根據以上數值，判讀結果下列何者正確？",41,114,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-106-1-medical-surgical-039","人類乳突病毒（HPV）感染與下列何種癌症有關？",39,106,{"webId":53,"stem":54,"number":41,"year":55,"session":36},"nurse-107-2-medical-surgical-003","鍾先生自工地 10 公尺高處落下，造成 C3～C5 完全性脊髓損傷，經 119 送達急診，下列敘述何者錯誤？",107,{"webId":57,"stem":58,"number":59,"year":60,"session":36},"nurse-108-2-medical-surgical-037","有關癌症初級預防之敘述，下列何者錯誤？",37,108,"2026-09-04",1788510750639]