[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-010":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":10},"nurse-113-3-內外科護理學-010","nurse-113-3-medical-surgical-010",113,3,10,"有關急性胰臟炎的敘述，下列何者正確？①常見的原因是膽道疾病及飲酒過量 ②血清澱粉酶及血鈣的數值過高 ③會出現下腹巨痛或疼痛輻射至右肩 ④急性期後，仍需採低脂飲食",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於急性胰臟炎的病因、檢驗與飲食,要求選出正確組合。①正確,膽道疾病(膽結石)與飲酒過量是急性胰臟炎兩大主因;④正確,急性期後仍須採低脂飲食以減少胰液分泌刺激,故①④組合正解為 B。②錯在血清澱粉酶(amylase)、脂肪酶(lipase)確實升高,但血鈣是「下降」(脂肪壞死皂化耗鈣),非過高;③錯在胰臟炎典型為「上腹」劇痛輻射至「背部」,而非下腹巨痛輻射至右肩(右肩放射較屬膽囊病灶)。本題屬急性胰臟炎綜合辨識題。","病因記憶 GET SMASHED,首要為 Gallstones 與 Ethanol。診斷:amylase、lipase 升高(lipase 更專一持久),影像見胰臟腫大。低血鈣是嚴重度指標(Ranson criteria 之一),因脂肪壞死游離脂肪酸與鈣結合皂化。疼痛特徵:持續性上腹痛穿透至背,前傾抱膝可略緩解。飲食:急性禁食讓胰臟休息,恢復期低脂、戒酒。",[24,26,29,31],{"term":25,"count":10},"低脂飲食",{"term":27,"count":28},"急性胰臟炎病因",1,{"term":30,"count":28},"amylase\u002Flipase",{"term":32,"count":28},"低血鈣皂化",[34,38,44,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-011","60 歲女性病人主訴清晨會出現左側膝關節僵硬，熱敷後僵硬可以改善，且上下樓梯時關節會有輾軋音。下列何者為病人最可能的疾病診斷？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-medical-surgical-007","有關食道癌之敘述，下列何者錯誤？",7,114,2,{"webId":45,"stem":46,"number":28,"year":47,"session":28},"nurse-115-1-medical-surgical-001","陳先生T3～T5脊髓損傷，目前血壓250\u002F140 mmHg，心跳50～55次／分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象？",115,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-106-2-medical-surgical-019","有關痛風性關節炎急性期病人之護理指導，下列何者正確？",19,106,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-107-2-medical-surgical-063","下列何者為確立無痛性血尿是否為膀胱癌之最佳診斷檢查？",63,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-109-1-medical-surgical-017","有關退化性關節炎的敘述，下列何者正確？",17,109,"2026-09-04",1788510752524]