[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-109-2-基礎醫學-037","nurse-109-2-basic-medicine-037",109,2,37,"下列何者不是肝衰竭（hepatic failure）的臨床症狀？",{"A":15,"B":16,"C":17,"D":18},"凝血病變（coagulopathy）引發出血傾向","男子女乳症（gynecomastia）","高氨血症（hyperammonemia）","高白蛋白血症（hyperalbuminemia）","D",null,[],"本題考點是肝衰竭的臨床表現,屬「找非症狀」題。依肝臟病生理,肝臟是白蛋白的合成場所,肝衰竭時合成能力下降應出現低白蛋白血症(hypoalbuminemia),而非高白蛋白血症,故D「高白蛋白血症」不是肝衰竭表現,為正解。A凝血病變是因肝臟合成凝血因子(如II、VII、IX、X及纖維蛋白原)減少,導致出血傾向,屬真實症狀。B男子女乳症因肝臟對雌激素代謝清除下降、雌激素相對過多所致,是肝硬化常見表現。C高氨血症因肝臟尿素循環失能無法將氨轉為尿素,血氨蓄積並引發肝性腦病變,亦為真實症狀。故唯一與實際相反者為D。","肝衰竭多系統後果:合成↓(白蛋白低致腹水水腫、凝血因子低致出血、PT\u002FINR延長);解毒↓(血氨升高致肝性腦病變、撲動性震顫asterixis);代謝↓(雌激素清除減少致男子女乳、蜘蛛痣、手掌紅斑);膽紅素代謝↓(黃疸);門脈高壓(食道靜脈曲張、脾腫)。白蛋白低下同時降低血漿膠體滲透壓,加重腹水與周邊水腫。記憶:肝壞=「白蛋白低、凝血差、血氨高、雌激素多」,任何寫成「高白蛋白」都與肝衰竭相反。",[25,28,30,33,35],{"term":26,"count":27},"低白蛋白血症",5,{"term":29,"count":11},"肝衰竭",{"term":31,"count":32},"凝血病變",1,{"term":34,"count":32},"高氨血症",{"term":36,"count":32},"男子女乳症",[38,42,47,51,56,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-109-2-basic-medicine-038","有關威爾斯瘤（Wilms tumor）之敘述，下列何者正確？",38,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-110-1-basic-medicine-054","腎臟功能不良的高齡病人，若以 vancomycin 治療其嚴重感染症，要特別注意下列何種副作用？",54,110,{"webId":48,"stem":49,"number":50,"year":46,"session":11},"nurse-110-2-basic-medicine-068","婦女經期衛生棉條不潔，引起之毒性休克症候群（toxic shock syndrome），為下列何種細菌產生之毒素所引起的？",68,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-112-2-basic-medicine-006","下列器官的血液供應何者不是源自腹腔動脈幹？",6,112,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-113-3-basic-medicine-010","下列何者具有明顯之環狀皺襞（circular folds）？",10,113,3,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-115-1-basic-medicine-004","心室細胞在生理狀態下之靜止膜電位約為多少？",4,115,"2026-09-04",1788510715079]