[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-109-1-內外科護理學-045","nurse-109-1-medical-surgical-045",109,1,45,"一位 30 歲女性主訴最近出現皮膚對光敏感、對稱性關節疼痛、口腔潰瘍，另補體 C 3 及 C 4 減少、抗核抗體（ANA）呈現陽性、紅血球沉降速率（ESR）明顯上升、血小板減少，下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"痛風性關節炎","後天免疫缺乏症候群","全身性紅斑性狼瘡","類風濕性關節炎","C",null,[],"本題考點為全身性紅斑性狼瘡(SLE)的診斷特徵。SLE屬多系統自體免疫疾病,依其典型表現:皮膚光敏感、對稱性關節痛、口腔潰瘍、補體C3\u002FC4下降(免疫複合體消耗補體)、抗核抗體ANA陽性、紅血球沉降速率上升、血小板減少,符合SLE多項分類準則,故選C。A痛風性關節炎為尿酸結晶沉積,以單關節急性紅腫熱痛與高尿酸為主,無ANA陽性;B後天免疫缺乏症候群以CD4下降與伺機性感染表現,非補體與ANA異常;D類風濕性關節炎以類風濕因子與對稱性小關節破壞為主,少見光敏感與補體下降,故最符合者為C。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840747588]