[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-022":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-113-2-內外科護理學-022","nurse-113-2-medical-surgical-022",113,2,22,"有關何杰金氏淋巴瘤的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常見瀰漫不連續的淋巴結散布情形","好發在中老年人較常見且男性為女性的 2 倍","常見發燒、盜汗、體重減輕等症狀","常見骨髓侵犯","C",null,[],"本題考點在於何杰金氏淋巴瘤的臨床特徵。依其病理,腫瘤常伴全身性 B 症狀,故 C「發燒、盜汗、體重減輕」正確。A 錯,何杰金氏淋巴瘤特徵是由單一淋巴結區「連續性、可預測」向鄰近擴散,而瀰漫不連續散布是非何杰金氏淋巴瘤的特徵。B 錯,其發生率呈雙峰(青壯年與老年)分布,並非單純「中老年男性為女性 2 倍」的描述。D 錯,骨髓侵犯在何杰金氏較少見,非何杰金氏淋巴瘤才較常見骨髓與結外侵犯。判別關鍵在 Reed-Sternberg 細胞與連續性擴散。","何杰金氏淋巴瘤的病理標記為 Reed-Sternberg 細胞,擴散連續可循淋巴鏈,分期用 Ann Arbor 並以 A\u002FB 標示有無 B 症狀(發燒>38°C、夜間盜汗、6 個月體重減輕>10%)。相對非何杰金氏則多中心、跳躍式、常結外與骨髓侵犯。記憶:何杰金「規矩地一站一站傳」,常伴 B 症狀。",[24,27,29,32],{"term":25,"count":26},"何杰金氏淋巴瘤",4,{"term":28,"count":10},"B 症狀",{"term":30,"count":31},"Reed-Sternberg 細胞",1,{"term":33,"count":31},"連續性擴散與 Ann Arbor 分期",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-023","有關常見腫瘤標記的應用，下列何者正確？ ①癌胚抗原（CEA）可監測結腸直腸癌治療效果 ②癌抗原 125（CA125）可監測胰臟癌與消化道腫瘤 ③前列腺特異抗原（PSA）為前列腺癌的偵測與治療指標 ④癌抗原 15-3（CA15-3）可監測晚期或合併遠端轉移乳癌之治療反應 ⑤α-胎兒蛋白（AFP）為監測肺癌治療後的指標",23,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-medical-surgical-019","有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",19,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-medical-surgical-013","有關病人股骨骨折後牽引的護理措施，下列敘述何者最適當？①牽引重力應垂直懸空不可擺動 ②摩擦力愈小，牽引拉力愈大 ③應以罩單覆蓋在牽引繩上，以減少感染 ④應視病人需要，隨時調整牽引重量 ⑤牽引力應與骨頭的長軸平行",13,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-106-1-medical-surgical-061","接受根除性腎臟切除術之病人，術後 24～48 小時需監測有無腎上腺功能不足之症狀，下列何者錯誤？",61,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-medical-surgical-025","有關白內障摘除術後預防眼壓上升的護理指導，下列何者正確？",25,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-medical-surgical-059","下列何項實驗室檢查結果最能顯示腎臟功能受損？",59,108,"2026-09-04",1788510755061]