[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-038":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-112-2-內外科護理學-038","nurse-112-2-medical-surgical-038",112,2,38,"王小姐最喜歡吃速食，餐餐吃都不膩，最近出現口炎、吞嚥困難且指甲萎縮變薄呈湯匙狀，醫師告知為貧血，王小姐最有可能罹患那一種貧血？",{"A":14,"B":15,"C":16,"D":17},"缺鐵性貧血","惡性貧血","葉酸缺乏性貧血","再生不良性貧血","A",null,[],"本題考點為缺鐵性貧血的典型臨床表徵辨識。個案長期偏食速食、鐵質攝取不足，出現口炎（angular stomatitis）、吞嚥困難及指甲呈匙狀甲（koilonychia，湯匙狀凹陷），此組合是缺鐵性貧血的經典表現，故選 A。依機轉，缺鐵導致含鐵酵素與上皮組織代謝異常，才會出現匙狀甲與黏膜病變。B 惡性貧血因維生素 B12 缺乏，特徵為神經學症狀與舌炎；C 葉酸缺乏性貧血以巨球性貧血為主、無匙狀甲；D 再生不良性貧血為全血球減少，以出血、感染表現為主，皆與匙狀甲不符，故選 A。",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？",6,1783840781779]