[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-內外科護理學-051","nurse-107-2-medical-surgical-051",107,2,51,"一位 23 歲女性主訴最近食慾不振、疲倦、發燒及體重減輕，經身體評估發現口腔潰瘍、左右膝關節有壓痛、腫脹，另抗核性抗體（ANA）呈現陽性，下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"類風濕性關節炎","全身性紅斑性狼瘡","骨性關節炎","後天免疫缺乏症候群代號：3106 頁次：6－5","B",null,[],"本題考點在辨識全身性紅斑性狼瘡(SLE)的多系統自體免疫表現。依 SLE 分類準則,育齡女性出現口腔潰瘍、多發性關節炎、發燒、體重減輕等全身症狀,加上抗核抗體(ANA)陽性,即高度指向 SLE,故選 B;ANA 是 SLE 最敏感的篩檢指標。選項 A 類風濕性關節炎以對稱性小關節侵犯與晨僵為主,診斷靠 RF、anti-CCP;選項 C 骨性關節炎屬退化性、好發於負重大關節,無全身炎症與 ANA 陽性;選項 D 後天免疫缺乏症候群以免疫低下併機會性感染表現,不符此自體免疫圖像。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840751160]