[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-109-1-內外科護理學-065","nurse-109-1-medical-surgical-065",109,1,65,"長期使用類固醇製劑而導致愛迪生氏症（Addison’s disease）之病人所呈現的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"皮膚與黏膜都會呈現褐色的色素沉著","漸進性的疲累、軟弱無力及體重減輕","出現眩暈等姿位性低血壓以及脫水徵象","女性病人的腋毛與陰毛會出現減少情形","A",null,[],"本題考點為類固醇引起之續發性腎上腺功能不全的表現。長期使用外源性類固醇會抑制下視丘-腦垂體-腎上腺軸,ACTH分泌被壓低;而A皮膚黏膜褐色色素沉著源自ACTH(及其前驅物MSH)過高刺激黑色素,此僅見於原發性愛迪生氏症,類固醇造成的續發性因ACTH低下反而「不會」出現色素沉著,故A為錯誤表徵。B疲累無力體重減、C姿位性低血壓與脫水、D性徵毛髮減少,皆符合腎上腺皮質功能低下,故錯誤選項為A。","關鍵鑑別:原發性(Addison)腎上腺本身壞損→ACTH代償性升高→皮膚色素沉著(古銅色);續發性(如長期類固醇、腦垂體病變)→ACTH低下→無色素沉著。兩者皆有低皮質醇的疲倦、低血壓、低血糖。長期類固醇「驟停」會誘發腎上腺危象,須漸減。",[24,26,28,30],{"term":25,"count":10},"愛迪生氏症",{"term":27,"count":10},"續發性腎上腺功能不全",{"term":29,"count":10},"ACTH與色素沉著",{"term":31,"count":10},"類固醇抑制HPA軸",[33,37,42,46,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-066","有關高滲透壓高血糖狀態（HHS）之敘述，下列何者正確？",66,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-medical-surgical-002","多發性硬化症（multiple sclerosis; MS）使用 Cyclophosphamide 藥物治療之最主要目的，下列何者正確？",2,110,{"webId":43,"stem":44,"number":45,"year":41,"session":40},"nurse-110-2-medical-surgical-016","李先生因胃癌接受全胃切除術，術後開始進食稀飯，約 30 分鐘後出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",16,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"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,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-medical-surgical-018","有關心臟去纖維震顫器使用的敘述，下列何者錯誤？",18,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-medical-surgical-012","有關肌肉骨骼系統身體檢查評估結果之敘述，下列何者正確？",12,114,"2026-09-04",1788510712902]