[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-043","nurse-113-2-medical-surgical-043",113,2,43,"下列何者是與糖尿病小血管病變有關的慢性合併症？①足部神經麻木 ②糖尿病腎病變 ③心肌梗塞 ④腦血管梗塞",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","A",null,[],"本題考點在於糖尿病慢性合併症中小血管（微血管）病變與大血管病變的區分。糖尿病微血管病變侵犯視網膜、腎絲球與周邊神經滋養血管，故②糖尿病腎病變與①周邊神經病變（足部麻木，與滋養神經之微血管缺血相關）屬小血管病變範疇，選 A（①②）。③心肌梗塞與④腦血管梗塞屬大血管（動脈粥狀硬化）病變，機轉為高血糖加速大動脈粥樣化，非微血管病變，故不選。","記法：微血管三大靶器官=眼（視網膜病變）、腎（腎病變）、神經（周邊神經病變），與長期血糖控制（HbA1c）最相關。大血管病變=冠心病、腦中風、周邊動脈疾病，與血脂、血壓、吸菸共構。神經病變雖屬神經退化，考試多歸微血管相關合併症。控糖降微血管風險證據最明確。",[24,27,30,33],{"term":25,"count":26},"周邊神經病變",5,{"term":28,"count":29},"糖尿病腎病變",4,{"term":31,"count":32},"糖尿病微血管病變",1,{"term":34,"count":32},"大血管病變",[36,40,45,50,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-2-medical-surgical-044","有關尿崩症臨床表徵之敘述，下列何者錯誤？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-medical-surgical-040","有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",40,114,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-114-3-medical-surgical-034","有關心肌梗塞急性期處置，下列敘述何者最適當？",34,3,{"webId":51,"stem":52,"number":10,"year":53,"session":10},"nurse-106-2-medical-surgical-002","林先生手術移除額葉腦腫瘤後返回神經外科加護單位觀察，病人突然全身性抽搐，下列措施何者不適當？",106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-medical-surgical-046","有關疥瘡的敘述，下列何者錯誤？",46,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-medical-surgical-080","有關嚴重急性呼吸道症候群（SARS）之臨床症狀，不包括下列何者？",80,108,"2026-09-04",1788510755244]