[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-113-2-內外科護理學-021","nurse-113-2-medical-surgical-021",113,2,21,"有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",{"A":14,"B":15,"C":16,"D":17},"④","③","②","①","B",null,[],"本題考點在於惡性貧血的病因與診斷,屬反向題。惡性貧血屬巨球性貧血,診斷依內在因子抗體、抗胃壁細胞抗體、血液抹片(大卵圓紅血球、過度分葉中性球)與 Schilling test 判定,並不需靠「骨髓切片」確診,故③為錯誤敘述,選 B(③)。①正確,惡性貧血與自體免疫破壞胃壁細胞有關。②正確,胃切除者因內在因子缺乏而易罹患。④正確,因 B12 吸收障礙須終生補充。逐一比對:唯③把診斷方法誤植為骨髓切片,其餘皆符合病生理,故被挑出。","惡性貧血是自體免疫性胃炎破壞壁細胞→內在因子缺乏→B12 吸收障礙的巨球性貧血,可伴神經學症狀。診斷靠血清 B12、自體抗體與抹片,骨髓切片非必要。記憶:惡性貧血查「抗體與 B12」,不是靠骨髓切片。",[24,27,29,31],{"term":25,"count":26},"惡性貧血自體免疫",1,{"term":28,"count":26},"內在因子缺乏",{"term":30,"count":26},"巨球性貧血診斷",{"term":32,"count":26},"終生補充 B12",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-medical-surgical-018","有關心衰竭之敘述，下列何者正確？",18,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-012","有關骨外固定器處置，下列敘述何者最不適當？",12,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-medical-surgical-060","有關女性尿道炎發生原因之機率，下列何者最低？",60,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-024","鼻咽癌病人接受放射線治療的護理措施，下列何者錯誤？",24,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-058","成人在正常飲水狀況下，日間平均解尿次數超過 8 次之現象，下列何者正確？",58,108,"2026-09-04",1788510755048]