[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-070":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-109-1-內外科護理學-070","nurse-109-1-medical-surgical-070",109,1,70,"有關格雷氏病（Grave’s disease）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血清脂質增加","好發於老年病人","甲狀腺素分泌過多所引起","主要徵象為副甲狀腺機能低下","C",null,[],"本題考點為格雷氏病(Graves' disease)的病理。Graves病為自體免疫產生甲狀腺刺激性抗體(TSI\u002FTRAb),持續活化TSH受體使甲狀腺素分泌過多,屬甲狀腺機能亢進最常見原因,故C「甲狀腺素分泌過多所引起」正確。A血清脂質在甲亢因代謝加速通常「下降」而非增加;B好發於20~40歲女性而非老年人;D主要徵象是甲狀腺功能「亢進」與突眼、脛前黏液水腫,與副甲狀腺無關,故正確者為C。","Graves病=自體抗體TRAb刺激TSH受體的甲亢,三大特徵:瀰漫性甲狀腺腫、突眼(眼病變)、脛前黏液水腫。甲亢代謝快故膽固醇下降、體重減。抗甲狀腺藥(methimazole、PTU)、放射碘、手術為三線治療。與副甲狀腺(調節鈣磷)完全不同系統,勿混淆。",[24,27,30,32],{"term":25,"count":26},"甲狀腺機能亢進",9,{"term":28,"count":29},"格雷氏病",2,{"term":31,"count":10},"甲狀腺刺激性抗體TRAb",{"term":33,"count":10},"甲狀腺素分泌過多",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-071","有關高血磷病人的護理指導，下列何者正確？①少吃堅果類與糙米飯 ②多補充維生素 D ③監測小便量與肝功能 ④注意下床活動安全 ⑤服用磷結合劑",71,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-1-medical-surgical-007","有關不同類型腦血管意外的敘述，下列何者正確？",7,110,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-110-2-medical-surgical-021","有關全髖關節置換術後病人之護理指導，下列何者錯誤？",21,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-059","肺擴張不全病人的身體評估，下列發現何者正確？",59,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-medical-surgical-023","病人初次確診為缺鐵性貧血，醫囑須服用鐵劑，下列護理指導何者正確？",23,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-medical-surgical-017","有關裝置永久性心臟節律器病人居家護理指導之敘述，下列何者錯誤？",17,114,"2026-09-04",1788510712955]