[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-1-內外科護理學-069","nurse-110-1-medical-surgical-069",110,1,69,"有關嗜鉻細胞瘤的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"因病人情緒激動導致腫瘤突然釋放大量兒茶酚胺所導致","過量的腎上腺素與正腎上腺素會引起交感神經過度活動","會出現 5P 症狀：心悸、盜汗、疼痛、臉色蒼白及高血壓","可透過檢測病人血液當中的杏仁酸（VMA）含量確立診斷","D",null,[],"本題考點在於嗜鉻細胞瘤的診斷檢查方式。診斷雖以兒茶酚胺代謝產物香草扁桃酸（VMA）為依據，但VMA應檢測24小時尿液而非血液，故「檢測血液當中的VMA確立診斷」的敘述錯誤，為本題答案D。選項A正確，情緒激動、壓力可誘發腫瘤突然大量釋放兒茶酚胺。選項B正確，過量腎上腺素與正腎上腺素造成交感神經過度活動。選項C正確，典型5P症狀為心悸、盜汗、疼痛（頭痛）、臉色蒼白及高血壓（血壓上升）。故檢體取材為尿液而非血液，判斷錯誤者為D。","嗜鉻細胞瘤是腎上腺髓質分泌兒茶酚胺的腫瘤，招牌是「陣發性、頑固性高血壓」加5P。診斷檢驗要背清楚檢體：24小時尿液VMA與metanephrines、血漿游離metanephrines，影像用CT\u002FMRI定位。護理重點：避免觸診腹部或情緒刺激誘發高血壓危象，術前以甲型阻斷劑（如phenoxybenzamine）控制血壓，需先甲型後乙型阻斷避免單用乙型致血壓反升。可連結：兒茶酚胺、metanephrines、甲型腎上腺素受體阻斷劑、高血壓危象。",[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},"香草扁桃酸VMA",{"term":32,"count":10},"24小時尿液檢測",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-070","有關糖尿病病人產生腎臟病變之敘述，下列何者正確？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-medical-surgical-006","有關頭部創傷之敘述，下列何者正確？",6,111,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-111-2-medical-surgical-020","有關上石膏病人的護理指導，下列何者錯誤？",20,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-112-2-medical-surgical-058","下列何者最不可能出現在肺氣腫病人的肺功能檢查結果？",58,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-medical-surgical-032","王先生診斷肺癌接受放射線治療時，出現皮膚乾燥、發癢和脫皮情形，下列護理措施何者最適當？",32,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-026","有關成年惡性淋巴瘤病人接受骨髓穿刺抽吸術檢查之敘述，下列何者錯誤？",26,115,"2026-09-04",1788510721442]