[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-3-內外科護理學-016","nurse-113-3-medical-surgical-016",113,3,16,"有關肥厚型心肌病變之病因，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"主動脈狹窄","心肌炎","澱粉樣病變","酒精中毒","A",null,[],"本題考點在於各類心肌病變的病因辨識。肥厚型心肌病變(HCM)以心肌不對稱肥厚、心室中膈增厚為特徵,多為體染色體顯性遺傳(肌節蛋白基因突變);在給定選項中,主動脈狹窄造成左心室長期後負荷增加、代償性肥厚,是與心肌肥厚最相關的病因,故選 A。B 心肌炎與 D 酒精中毒導致心肌收縮無力、心室擴大,屬「擴張型」心肌病變;C 澱粉樣病變因異常蛋白浸潤使心室壁僵硬、順應性下降,屬「限制型」心肌病變。三者皆非肥厚型的病因方向。本題屬心肌病變分類辨識題,選項設計略偏,標中等把握。","心肌病變三型速記:肥厚型(HCM,心肌變厚、遺傳為主、運動性猝死風險)、擴張型(DCM,心室擴大收縮差,病因如酒精、心肌炎、缺血)、限制型(RCM,心室僵硬舒張受限,如澱粉樣變性、纖維化)。主動脈狹窄使左室對抗高阻力而向心性肥厚,型態上與肥厚型相呼應,是本題設定的最佳答案;但典型 HCM 多為原發遺傳,本題以病因關聯度取捨。",[24,27,29,31],{"term":25,"count":26},"肥厚型心肌病變",1,{"term":28,"count":26},"主動脈狹窄後負荷",{"term":30,"count":26},"擴張型心肌病變",{"term":32,"count":26},"限制型心肌病變",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-017","一位 74 歲男性，因胸痛數次到醫院檢查，檢驗報告 LDH1\u002FLDH2＞1；CK-MB 460 U\u002FL；Troponin I 15.0 ng\u002FmL； K + 3.0 mEq\u002FdL，有關其檢驗報告的判讀，下列何者正確？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-medical-surgical-013","有關移除下肢石膏後病人護理指導之敘述，下列何者不適當？",13,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-medical-surgical-007","有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",7,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-medical-surgical-025","李先生 75 歲由家人送至急診室，主訴有胸悶、噁心、呼吸困難情形，外觀臉色蒼白、情緒顯焦慮，下列護理措施何者不適宜？",25,106,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-107-2-medical-surgical-069","有關皮下注射胰島素吸收速率之比較，下列何者正確？",69,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-medical-surgical-023","有關扁桃腺炎病人接受扁桃腺切除術之敘述，下列何者錯誤？",23,109,"2026-09-04",1788510752581]