[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-106-1-基礎醫學-047","nurse-106-1-basic-medicine-047",106,1,47,"下列何者的臨床症狀因醛固酮過多而造成低血鉀症？",{"A":15,"B":16,"C":17,"D":18},"庫欣氏症（Cushing syndrome）","孔恩氏症（Conn syndrome）","愛迪生氏症（Addison disease）","嗜鉻細胞瘤（pheochromocytoma）","B",null,[],"本題考點為原發性醛固酮過多症所致的低血鉀。依內分泌病理,孔恩氏症(Conn syndrome)為腎上腺分泌過量醛固酮,促進腎遠端保鈉排鉀,造成高血壓與低血鉀症,故正解為 B。庫欣氏症以皮質醇過多為主,雖可有輕度低血鉀但主徵是滿月臉、向心性肥胖,A 非最典型。愛迪生氏症為腎上腺功能不足,醛固酮低下反致高血鉀,C 方向相反。嗜鉻細胞瘤分泌兒茶酚胺造成陣發性高血壓,與醛固酮無關,D 錯。","醛固酮作用軸:遠曲小管與集尿管保鈉、排鉀與氫離子,故過多→高血壓+低血鉀+代謝性鹼中毒。孔恩氏症與愛迪生氏症恰為醛固酮「過多 vs 不足」的鏡像:後者低鈉高鉀、低血壓、皮膚色素沉著,兩者常配對出題。",[25,27,29,31],{"term":26,"count":11},"孔恩氏症(原發性醛固酮過多)",{"term":28,"count":11},"醛固酮保鈉排鉀",{"term":30,"count":11},"低血鉀症",{"term":32,"count":11},"愛迪生氏症對比",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-basic-medicine-048","一位 18 歲男性病人右膝疼痛，影像醫學檢查發現右側股骨骺端有一個界線不清楚的溶骨性病灶，且在骨膜上有柯德曼三角形（Codman triangle）的特徵。切片下顯示有許多過染性（hyperchromatic），非典型的紡錘狀（spindle）細胞增生，偶爾可見有類骨質（osteoid）的基質和有絲分裂。它最有可能是何種腫瘤？",48,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-106-2-basic-medicine-064","免疫抑制劑 sirolimus（又稱 rapamune）可緩解免疫組織損壞。此藥物在淋巴細胞作用之敘述，何者正確？",64,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-basic-medicine-078","常發生於夏季的登革熱，其症狀可類似感冒，亦可嚴重至休克出血，其傳播途徑主要由下列那一種途徑？",78,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-basic-medicine-036","岡氏複合體（Ghon complex）是那一類結核病的病理表現？",36,108,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-109-2-basic-medicine-080","沙門氏菌屬（Salmonella spp.）主要的感染途徑為何？",80,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-basic-medicine-034","下列何者最不代表惡性細胞的病理特徵？",34,111,"2026-09-04",1788510691294]