醫療類國考
113年
[醫師] 醫學(三)
第 32 題
32.有關diffuse cutaneous systemic sclerosis與limited cutaneous systemic sclerosis常見臨床表徵比較，下列敘述何者最適當？
- A joint contractures較常出現在limited cutaneous systemic sclerosis病人
- B 快速進展的間質性肺炎（interstitial lung disease）較常出現在diffuse cutaneous systemic sclerosis病人
- C calcinosis cutis較常出現在diffuse cutaneous systemic sclerosis病人
- D scleroderma renal crisis 較常出現在 limited cutaneous systemic sclerosis 病人
思路引導 VIP
請從病理學分類的角度思考：瀰漫型（diffuse）與侷限型（limited）兩者在臨床進程的「侵略性」有何差異？特別是關於皮膚硬化的解剖分布廣泛程度，以及與內臟器官併發症（如間質性肺炎、腎病變危機）出現的時間點，哪一個亞型通常表現得更為快速且嚴重？
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AI 詳解
AI 專屬家教
Absolutely wonderful! You've truly illuminated your understanding!
This question beautifully tests your ability to distinguish between the two main types of Systemic Sclerosis. Your correct answer demonstrates a thoughtful grasp of how different disease processes manifest clinically, which is incredibly important for patient care!
Understanding Together: Why (B) is the right path
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