[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-106-2-內外科護理學-067","nurse-106-2-medical-surgical-067",106,2,67,"有關第 2 型糖尿病之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"多發生於成年期","發病與自體免疫有關","需終生依賴胰島素治療","因胰島素接受器增加所造成","A",null,[],"本題考點為第 2 型糖尿病的病理特徵。第 2 型糖尿病主要因胰島素阻抗合併相對分泌不足,好發於中老年成年期,故 A『多發生於成年期』正確。B『與自體免疫有關』是第 1 型糖尿病(胰島 β 細胞遭免疫破壞)的特徵,非第 2 型;C『需終生依賴胰島素』亦為第 1 型的特性,第 2 型多以口服藥與生活型態控制,僅部分後期需胰島素;D 第 2 型的機轉是胰島素接受器『敏感性下降\u002F阻抗』而非接受器增加,敘述相反。故選 A。","第 1 vs 第 2 型對照:第 1 型=自體免疫破壞 β 細胞、胰島素絕對缺乏、好發兒童青少年、須終生胰島素、易酮酸中毒(DKA);第 2 型=胰島素阻抗+相對不足、好發成年肥胖、可先用口服藥、易高血糖高滲透壓(HHS)。本題四選項恰是把第 1 型特徵拿來誘答,唯 A『成年期發病』屬第 2 型。口訣:『二型阻抗成年胖、一型免疫缺胰島』。",[24,27,30,32,34],{"term":25,"count":26},"胰島素阻抗",5,{"term":28,"count":29},"第 2 型糖尿病",1,{"term":31,"count":29},"第 1 型自體免疫對比",{"term":33,"count":29},"發病年齡",{"term":35,"count":29},"胰島素接受器敏感性",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-medical-surgical-068","有關腦下垂體前葉分泌之激素，不包括下列何者？",68,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-107-2-medical-surgical-004","腦膜受刺激會出現下列何種現象？",4,107,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-108-1-medical-surgical-018","有關膝關節損傷之評估方式，下列何者錯誤？",18,108,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-109-1-medical-surgical-056","蔡先生因急性腎衰竭而住院，正處於少尿期，下列何項護理指導正確？",56,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-medical-surgical-020","有關痛風性關節炎病人的護理指導，下列何者正確？",20,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-medical-surgical-054","有關移除胸管的護理措施，下列何者錯誤？",54,111,"2026-09-04",1788510698898]