[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-033":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-033","nurse-113-2-medical-surgical-033",113,2,33,"有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Letrozole（Femara）是轉移性乳癌第一線用藥，需服用 2～5 年","停經後婦女的荷爾蒙治療效果比停經前婦女好","雌性素受體（ER）或黃體素受體（PR）呈陽性者，治療效果較好","抗雌性素治療會有骨質疏鬆副作用，需定期做骨質密度檢查","A",null,[],"本題考點在於乳癌荷爾蒙(內分泌)治療的原則,屬反向題。Letrozole(Femara)屬芳香環酶抑制劑,適用於「停經後」荷爾蒙受體陽性乳癌,其作用是抑制周邊脂肪組織的雌激素生成,對停經前婦女卵巢仍大量製造雌激素者效果不佳,故 A 將其泛稱為「第一線」且服用 2–5 年的描述與適應族群\u002F療程不符,為相對錯誤敘述、即為答案。B 正確,停經後婦女雌激素主要來自芳香環酶,故此類治療效果較好。C 正確,ER 或 PR 陽性者對內分泌治療反應較佳。D 正確,抗雌激素治療降低雌激素會致骨質疏鬆,須定期骨密度追蹤。整體以「藥物適用族群與受體狀態」判別。","內分泌治療依停經狀態選藥:停經前多用 Tamoxifen(選擇性雌激素受體調節劑),停經後可用芳香環酶抑制劑(Letrozole、Anastrozole)。芳香環酶抑制劑對停經前無效除非合併卵巢抑制,常見副作用為骨質疏鬆與關節痠痛,故需監測骨密度。記憶:芳香環酶抑制劑=停經後專用,ER\u002FPR 陽性才有效。",[24,27,29,31],{"term":25,"count":26},"乳癌內分泌治療",1,{"term":28,"count":26},"芳香環酶抑制劑適用停經後",{"term":30,"count":26},"ER\u002FPR 受體陽性",{"term":32,"count":26},"抗雌激素致骨質疏鬆",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-034","王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",34,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-medical-surgical-030","有關後天免疫缺乏症候群（AIDS）臨床表徵之敘述，下列何者錯誤？",30,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-024","有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",24,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-medical-surgical-072","有關甲狀腺機能亢進之護理指導，下列何者錯誤？",72,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-036","心臟週期的那一階段會出現第一心音？",36,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-070","長期口服或注射類固醇病人最可能出現的副作用，下列何者正確？",70,108,"2026-09-04",1788510755152]