[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-114-1-內外科護理學-028","nurse-114-1-medical-surgical-028",114,1,28,"有關皮膚腫瘤之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"表皮囊腫（epidermal cysts）是一種惡性腫瘤，通常包裹著乳白色的粉狀物質","脂漏性角化症（seborrheic keratoses）是一種良性的表皮角質過度增生","纖維瘤（fibroma）是一種脂肪細胞常見的腫瘤","蜘蛛狀血管瘤（spider hemangioma）與血液中黃體激素升高有關","B",null,[],"本題考點在於常見皮膚腫瘤的性質與組織來源辨識。依病理定義，脂漏性角化症是表皮角質細胞的良性過度增生，外觀為蠟樣黏貼狀斑塊、好發於中老年人，故B正確為答案。A說表皮囊腫是惡性腫瘤，實為良性囊腫、內含角質與皮脂樣物質；C說纖維瘤是脂肪細胞腫瘤，實則來自纖維結締組織，脂肪來源者應為脂肪瘤；D說蜘蛛狀血管瘤與黃體激素升高有關，實際與雌激素過高相關（如肝硬化、懷孕），故A、C、D皆錯誤。","辨皮膚腫瘤先分「良惡」再看「組織來源」。脂漏性角化症與表皮囊腫、脂肪瘤、纖維瘤都是良性；判惡性須警覺基底細胞癌、鱗狀細胞癌與黑色素瘤。蜘蛛狀血管瘤反映高雌激素狀態，因肝臟對雌激素代謝下降，故常見於肝硬化，是重要的肝病體徵。記憶點：命名多半直指來源，纖維瘤來自纖維、脂肪瘤來自脂肪。",[24,26,28,30,32],{"term":25,"count":10},"脂漏性角化症",{"term":27,"count":10},"表皮囊腫",{"term":29,"count":10},"蜘蛛狀血管瘤",{"term":31,"count":10},"雌激素",{"term":33,"count":10},"皮膚腫瘤良惡性",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-medical-surgical-029","林先生因熱燒傷接受植皮手術，有關術後注意事項之敘述，下列何者正確？",29,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-medical-surgical-025","有關器官移植後發生急性排斥反應，下列敘述何者最適當？",25,3,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-115-2-medical-surgical-019","下列何種心律不整，可以使用按摩頸動脈竇的方式來使心律恢復正常？",19,115,2,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-107-1-medical-surgical-007","有關多發性硬化症的敘述，下列何者錯誤？",7,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-1-medical-surgical-051","有關膿胸病變發生之部位，下列何者正確？",51,108,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-109-2-medical-surgical-005","檢查時用手壓病人中指的遠心端，然後迅速彈開，病人會有大拇指的屈曲運動，此種現象稱為？",5,109,"2026-09-04",1788510757430]