[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-001":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":11},"nurse-113-2-內外科護理學-001","nurse-113-2-medical-surgical-001",113,2,1,"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",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B","第1題一律給分",[],"本題考點在於腦瘤放射線治療的方式與適應症。①以碘 I-125 等放射性同位素經立體定位手術直接植入腫瘤進行近接治療(近距離放射治療)確為臨床作法;④放射治療可與化學治療合併,適用於惡性腦瘤及轉移性腦瘤,兩者皆正確,故選 B(①④)。②錯在手術後通常需待傷口與腦組織穩定癒合後才施行放射治療,而非「立即」合併,以免影響癒合並增加併發症;③錯在腦瘤放射治療多採「分次照射」(fractionation)以保護正常腦組織,而非以單次大劑量為主(單次大劑量僅見於特定放射手術)。故正解為①④。","分次照射的原理:利用正常組織修復能力優於腫瘤細胞的差異,將總劑量分多次給予,兼顧殺瘤與保護正常腦組織,降低放射性腦壞死風險。碘 I-125 近接治療將射源直接置入病灶,可提高局部劑量、減少對周邊正常組織照射。放化療合併則用於惡性度高、易浸潤或轉移的腫瘤以提升局部控制。",[24,26,28,30],{"term":25,"count":11},"腦瘤放射線治療",{"term":27,"count":11},"近接治療",{"term":29,"count":11},"分次照射",{"term":31,"count":11},"放化療合併",[33,36,41,46,51,56],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-113-2-medical-surgical-002","有關顱底骨骨折病人有耳漏、鼻漏的評估與及處置，下列敘述何者錯誤？",{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-113-3-medical-surgical-048","李先生用餐時，突然發生激烈咳嗽及呼吸困難，並伴有「咻」、「咻」喘氣聲，下列何者最為可能？",48,3,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-114-2-medical-surgical-042","有關腦下垂體前葉分泌的激素，下列何者正確？①生長素（growth hormone） ②促乳素（prolactin） ③催產素（oxytocin） ④抗利尿素（ADH）",42,114,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-106-1-medical-surgical-040","有關腫瘤病人出現抗利尿激素分泌失調症候群之護理措施，下列何者錯誤？",40,106,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-2-medical-surgical-004","腦膜受刺激會出現下列何種現象？",4,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-2-medical-surgical-038","下列何者屬於發疱劑（vesicant agent）的化學治療製劑？",38,108,"2026-09-04",1788510754847]