[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-107-1-內外科護理學-071","nurse-107-1-medical-surgical-071",107,1,71,"有關嗜鉻細胞瘤典型之 5P 症狀，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"高血壓","高血鉀","疼痛","心悸","B",null,[],"本題考點為嗜鉻細胞瘤的典型5P症狀。嗜鉻細胞瘤是腎上腺髓質腫瘤,過量分泌兒茶酚胺(腎上腺素、正腎上腺素),依交感神經過度興奮的機轉,典型5P為Pressure高血壓、Pain頭痛、Palpitation心悸、Perspiration出汗、Pallor臉色蒼白。B高血鉀並不屬於5P,兒茶酚胺過量與高血鉀無直接關聯,故選B。A高血壓、C疼痛(頭痛)、D心悸皆為5P成員,屬典型表徵。本題重點在辨識兒茶酚胺過度分泌造成的交感風暴症狀群。","5P英文記憶:Pressure、Pain、Palpitation、Perspiration、Pallor,核心是陣發性、嚴重且難控制的高血壓伴交感亢進。診斷靠24小時尿液或血漿中兒茶酚胺代謝物(metanephrines、VMA)升高。術前用藥重點:先給α受體阻斷劑(如phenoxybenzamine)充分控制血壓,再加β受體阻斷劑,順序不可顛倒——若先阻斷β會使α作用失去拮抗、血壓反而更飆升,是常考安全重點。",[24,27,29,31],{"term":25,"count":26},"嗜鉻細胞瘤",4,{"term":28,"count":26},"兒茶酚胺",{"term":30,"count":10},"5P症狀",{"term":32,"count":10},"陣發性高血壓",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-072","有關尿崩症病人之照護與處置，下列何者不適當？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-medical-surgical-008","有關肌無力症病人發生疑似膽鹼性危象（cholinergic crisis）時的處置，下列何者適當？①增加抗膽鹼酯酶藥物 ②停止使用 Pyridostigmine（Mestinon） ③由靜脈注射 atropine ④由靜脈注射類固醇",8,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-medical-surgical-022","冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",22,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-medical-surgical-060","有關膀胱癌的敘述，下列何者錯誤？",60,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-medical-surgical-024","下列腫瘤何者源自結締組織？",24,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-058","有關透析治療之適應症，下列何者不適宜？",58,112,"2026-09-04",1788510703137]