[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-115-2-內外科護理學-028","nurse-115-2-medical-surgical-028",115,2,28,"下列何項檢驗項目與傳染性疾病較無關？",{"A":14,"B":15,"C":16,"D":17},"C 反應蛋白數","α 胎兒蛋白","白血球","紅血球沉降速率","B",null,[],"本題考點是發炎感染指標與腫瘤標記的區辨。依實驗診斷學,C 反應蛋白是肝臟在急性發炎期大量合成的急性期蛋白,白血球計數反映骨髓對感染的動員反應,紅血球沉降速率則因血中纖維蛋白原與球蛋白上升使紅血球易疊積而加快,三者都是非特異性的發炎與感染活性指標。α 胎兒蛋白屬腫瘤標記,主要用於肝細胞癌與生殖細胞腫瘤的篩檢與追蹤,以及產前篩檢胎兒神經管缺陷,與傳染性疾病最無關,故選 B。A、C、D 雖無法指出病原種類,但數值變化與感染的有無及嚴重度直接相關,不符合題目要找的無關項。","延伸原理:C 反應蛋白半衰期短、上升與下降都快,適合追蹤治療反應;紅血球沉降速率反應慢且受貧血、懷孕、年齡影響,適合看慢性發炎趨勢,兩者常並用互補。白血球分類更關鍵:中性球比例上升偏細菌感染、淋巴球上升偏病毒感染、嗜酸性球上升想到寄生蟲與過敏。腫瘤標記記憶對照:α 胎兒蛋白對肝癌、癌胚抗原對大腸癌、CA-125 對卵巢癌、攝護腺特異抗原對攝護腺癌;腫瘤標記的共同限制是特異性不足,只作輔助與追蹤,不能單獨確診。可連結概念:急性期反應、發炎與敗血症指標(如前鈣素原)、產前篩檢。",[24,27,28,31,33],{"term":25,"count":26},"白血球計數",3,{"term":17,"count":10},{"term":29,"count":30},"C 反應蛋白",1,{"term":32,"count":30},"α 胎兒蛋白腫瘤標記",{"term":34,"count":30},"急性期反應",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-029","簡先生 6 小時前車禍意外造成全身 40%的熱燒傷，下列敘述何者正確？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-106-1-medical-surgical-075","有關心肺復甦術時胸部按壓之敘述，下列何者錯誤？",75,106,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-107-1-medical-surgical-009","引起急性感染性腹瀉後可能出現關節炎合併症之微生物，下列何者正確？",9,107,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-108-1-medical-surgical-047","針對 HIV 感染或 HIV 感染狀況不明者的相關防範措施之敘述，下列何者錯誤？",47,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-medical-surgical-011","有關憩室炎常見的併發症，下列何者正確？①膿瘍 ②出血 ③胰臟炎 ④形成瘻管",11,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-medical-surgical-045","有關傷口敷料的敘述，下列何者正確？",45,110,"2026-08-06",1787299037174]