[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-024":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-024","nurse-113-2-medical-surgical-024",113,2,24,"陳小弟，15 歲，剛被診斷為急性白血病，醫師給予強度較強的化學治療，有關急性白血病治療完全緩解的標準，下列何者錯誤？①骨髓內芽細胞（blast cell）＜5% ②周邊血液有芽細胞 ③無器官浸潤 ④造血細胞接近正常值",{"A":14,"B":15,"C":16,"D":17},"④","③","②","①","C",null,[],"本題考點在於急性白血病「完全緩解」的判定標準,屬反向題。完全緩解要求骨髓中原始芽細胞(blast)\u003C5%(①)、周邊血液「無」芽細胞、無髓外器官浸潤(③)且造血細胞恢復接近正常值(④)。②敘述「周邊血液有芽細胞」與緩解定義相反,為錯誤敘述,選 C(②)。逐一看:①③④皆符合完全緩解的血液學與臨床要件,唯②仍存在惡性芽細胞代表未達緩解,故被挑出。判別重點在「周邊血無芽細胞、骨髓 blast\u003C5%」這組硬性數值。","急性白血病完全緩解(CR)標準:骨髓 blast\u003C5%、周邊血無 blast、無髓外病灶、血球恢復(嗜中性球>1000、血小板>10 萬)。達 CR 不等於治癒,仍可能有微量殘存病灶(MRD),故需鞏固\u002F維持治療。記憶:緩解=周邊乾淨、骨髓芽細胞低於 5%、血球回穩。",[24,27,29,31],{"term":25,"count":26},"急性白血病完全緩解",1,{"term":28,"count":26},"骨髓芽細胞\u003C5%",{"term":30,"count":26},"周邊血無芽細胞",{"term":32,"count":26},"微量殘存病灶 MRD",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-025","承上題，有關陳小弟接受化學治療的護理指導，下列何者正確？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-medical-surgical-021","正在接受體外放射線治療的癌症病人表示：「臉和頸部的皮膚發紅刺痛、脫屑，甚至有些部位會濕濕的，很不舒服」，下列處置何者正確？",21,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-015","有關扁桃腺炎，下列敘述何者最不適當？",15,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-medical-surgical-063","王先生兩星期前因喉頭發炎、發燒就醫，近日出現血尿再次就醫，發現尿液中出現 RBC、WBC、蛋白質及圓柱體；血中 BUN 及肌酸酐值上升。下列何者為其最可能之診斷？",63,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-027","針對心房纖維顫動病人使用 warfarin（coumadin）之目的，下列何者正確？",27,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-061","尿流速之檢查結果，最大尿流速為 8 mL\u002F秒，下列何者為最可能之診斷？",61,108,"2026-09-04",1788510755068]