[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-107-2-內外科護理學-076","nurse-107-2-medical-surgical-076",107,2,76,"下列何種荷爾蒙分泌過多會導致肢端肥大症？",{"A":14,"B":15,"C":16,"D":17},"腎上腺素","甲狀腺激素","性腺激素","生長激素","D",null,[],"本題考點在肢端肥大症的內分泌病因。依機轉,肢端肥大症由腦下垂體分泌過多生長激素(growth hormone)引起,發生於骨骺板已閉合的成人,使肢端(手、腳、下顎、額骨)與軟組織持續增厚變大,故選 D。選項 A 腎上腺素過多與嗜鉻細胞瘤、陣發性高血壓相關,非肢端肥大;選項 B 甲狀腺激素過多造成甲狀腺亢進的高代謝表現,非肢端肥大;選項 C 性腺激素與性徵發育相關,亦非此病因。若生長激素過多發生於骨骺未閉合的兒童則造成巨人症,成人則為肢端肥大症。","生長激素多由腦下垂體前葉腺瘤過度分泌,經由肝臟釋放 IGF-1 促進生長。骨骺板未閉合(兒童)→縱向長骨生長→巨人症;骨骺閉合(成人)→肢端與軟組織增生→肢端肥大症,伴手腳變大、面容粗獷、下顎前突、糖耐受不良。診斷以口服葡萄糖無法抑制 GH 及 IGF-1 升高為依據。口訣:GH 過多,小孩長高(巨人)、大人變粗(肢端肥大)。",[24,27,29,32],{"term":25,"count":26},"肢端肥大症",3,{"term":28,"count":10},"生長激素過多",{"term":30,"count":31},"腦下垂體腺瘤",1,{"term":33,"count":31},"骨骺板閉合",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-077","有關有機磷中毒臨床處置之敘述，下列何者錯誤？",77,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-medical-surgical-013","病人主訴「左上腹疼痛，吃了東西後 1 小時更痛」，下列何者為其最可能之診斷？",13,108,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-109-1-medical-surgical-027","有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",27,109,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-110-1-medical-surgical-065","有關腎病症候群之照護措施，下列何者錯誤？",65,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-063","有關急迫性尿失禁之照護，下列敘述何者正確？①可給予副交感神經藥物 ②指導膀胱訓練法 ③指導病人使用尿失禁輔助用品如護墊或尿布 ④施行人工尿道括約肌植入術",63,112,"2026-09-04",1788510725555]