[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-069":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-106-2-內外科護理學-069","nurse-106-2-medical-surgical-069",106,2,69,"下列何者不是肢端肥大症之症狀？",{"A":14,"B":15,"C":16,"D":17},"葡萄糖耐受性降低","少汗症","多毛症","關節痛","B",null,[],"本題考點為肢端肥大症(acromegaly)的臨床表現。肢端肥大症因成人期生長素(GH)過度分泌,造成骨骼軟組織增生與代謝改變,常見症狀包括手腳臉部末端肥大、關節痛(D)、皮膚增厚多汗、多毛(C)、以及 GH 拮抗胰島素導致葡萄糖耐受性降低(A)。汗腺增生活躍使病人典型為『多汗』而非少汗,故 B『少汗症』不是肢端肥大症的症狀,為錯誤選項,選 B。故選 B。","GH 過多的效應:骨骼末端與軟組織增生(手腳變大、下顎前突、額突)、關節病變致關節痛、皮膚增厚+汗腺皮脂腺活躍→『多汗、油膩、體味重』,並因 GH 對抗胰島素而糖耐受下降甚至續發糖尿病。故『少汗』與病理相反。成人為肢端肥大、孩童骨骺未閉合則為巨人症。口訣:『GH 過多——手大、臉粗、關節痛、汗多、血糖高』。",[24,27,30,32,33],{"term":25,"count":26},"肢端肥大症",3,{"term":28,"count":29},"生長素(GH)過度分泌",1,{"term":31,"count":29},"多汗症",{"term":14,"count":29},{"term":34,"count":29},"軟組織與骨骼增生",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-070","低血容積與脫水的病人會出現的臨床表徵，不包括下列何者？",70,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-2-medical-surgical-006","病人的血壓值為 150\u002F90 mmHg，顱內壓為 15 mmHg，其腦組織灌流壓（CPP）下列何者正確？",6,107,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-108-1-medical-surgical-020","有關骨質疏鬆症與骨密度檢查的敘述，下列何者錯誤？",20,108,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-109-1-medical-surgical-058","承上題，下列何項處置可以最有效的改善王先生酸鹼不平衡之問題？",58,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-022","有關白內障症狀的敘述，下列何者錯誤？",22,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-056","評估慢性阻塞性肺病（COPD）病人的呼吸道阻塞嚴重度，下列何者為最重要的評估指標？",56,111,"2026-09-04",1788510698913]