[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-115-1-內外科護理學-008","nurse-115-1-medical-surgical-008",115,1,8,"有關口腔癌的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"發生部位以上顎黏膜最多","以鱗狀上皮細胞癌最常見","咀嚼不順為常見早期徵象","口腔有無痛且不易癒合的潰瘍為常見晚期徵象","B",null,[],"本題考點是口腔癌的病理型態與症狀時序。依口腔黏膜的組織學,覆蓋表面的是複層鱗狀上皮,受菸、酒、檳榔長期化學與機械刺激後發生惡性變化,故九成以上為鱗狀上皮細胞癌,選 B。A 錯:台灣口腔癌的常見發生部位以舌部與頰黏膜為首,與嚼檳榔的接觸面一致,上顎黏膜相對少見。C 錯:咀嚼與張口困難代表腫瘤已侵犯深層肌肉或顎關節,屬晚期表徵。D 錯:無痛且超過兩週不癒合的潰瘍或白斑,正是最典型的早期警訊,把它歸為晚期會延誤篩檢的判讀。","口腔癌在台灣的流行病學特徵是男性、中年、檳榔與菸酒共同暴露,危險倍數具加成效果,這也是口腔黏膜篩檢政策鎖定嚼檳榔與吸菸族群的理由。癌前病變包括白斑、紅斑與口腔黏膜下纖維化,後者以張口受限為特色。分期上頸部淋巴結轉移是預後關鍵,故評估必含雙側頸部觸診。記憶口訣:早期看得到(白斑、不癒潰瘍、硬塊),晚期動不了(張口困難、吞嚥困難、說話不清、耳部轉移痛)。延伸複習:術後顏面缺損與吞嚥復健、放射治療後口乾與黏膜炎的口腔照護重點。",[24,26,28,30],{"term":25,"count":10},"鱗狀上皮細胞癌",{"term":27,"count":10},"口腔癌危險因子",{"term":29,"count":10},"癌前病變白斑",{"term":31,"count":10},"早期與晚期徵象",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-009","肝性腦病變可能出現的臨床表徵，下列何者錯誤？",9,{"webId":38,"stem":39,"number":40,"year":41,"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？",5,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-019","有關痛風性關節炎急性期病人之護理指導，下列何者正確？",19,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-057","教導慢性阻塞性肺疾病病人採用橫膈式呼吸與噘嘴式呼吸的目的，下列何者正確？①降低呼吸作功 ②增加呼吸速率 ③減少潮氣容積 ④促進二氧化碳的排出",57,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-021","有關美尼爾氏症候群的敘述，下列何者錯誤？",21,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-055","下列何者不是闌尾炎的徵象？",55,110,"2026-08-06",1787299088600]