[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"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-112-1-內外科護理學-073","nurse-112-1-medical-surgical-073",112,1,73,"有關副甲狀腺功能低下之臨床表徵，下列何者正確？①嗜睡 ②高血鈣 ③骨質耗損加劇 ④白內障 ⑤高血磷",{"A":14,"B":15,"C":16,"D":17},"①③⑤","①④⑤","②③④","②③⑤","B",null,[],"本題考點在於副甲狀腺功能低下的臨床表徵，正解為①④⑤，選 B。副甲狀腺素（PTH）不足導致血鈣下降、血磷上升，故⑤高血磷正確；長期低血鈣可造成白內障，故④正確；①嗜睡等神經精神症狀亦屬慢性低血鈣表現，故正確。②高血鈣錯誤，功能低下時血鈣是降低而非升高；③骨質耗損加劇錯誤，PTH 減少會使破骨活性下降、骨質流失反而減少，骨質耗損加劇是副甲狀腺功能亢進的特徵，故不選含②③者。","副甲狀腺功能低下與亢進恰成鏡像：低下為低血鈣、高血磷，表現手足搐搦、Chvostek\u002FTrousseau 徵象陽性、白內障、基底核鈣化與精神症狀；亢進為高血鈣、低血磷，表現骨質流失、腎結石、便秘與倦怠（記憶口訣 stones, bones, groans, moans）。血鈣與血磷常呈反向關係。低血鈣急性發作備靜脈鈣劑，慢性補充鈣與活性維生素 D。可連結甲狀腺術後併發低副甲狀腺功能的評估。",[24,27,30,33,35],{"term":25,"count":26},"白內障",8,{"term":28,"count":29},"副甲狀腺功能低下",7,{"term":31,"count":32},"低血鈣高血磷",3,{"term":34,"count":10},"嗜睡神經症狀",{"term":36,"count":10},"骨質耗損屬亢進",[38,42,46,52,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-1-medical-surgical-074","下列何種情況可能會導致特魯索氏（Trousseau）與沃斯德克氏（Chvostek）徵象皆呈陽性反應？①低血鈣 ②低血鉀 ③低血糖 ④副甲狀腺功能低下症",74,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-112-3-medical-surgical-010","常見肝硬化形成腹水的原因，下列何者正確？",10,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-113-2-medical-surgical-004","當顱內出血病人發生顱內壓升高時，顱內開始代償顱內壓的機制，下列敘述何者正確？",4,113,2,{"webId":53,"stem":54,"number":51,"year":55,"session":32},"nurse-114-3-medical-surgical-002","62 歲王女士，因在家突然四肢無力至急診，意識清楚，但四肢癱瘓、不能言語，可依指示轉動眼球和眨眼，下列那一部分功能最可能受損？",114,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-106-1-medical-surgical-056","有關病人動脈血液氣體分析結果：pH 7.30、PaCO 2 40 mmHg、HCO 3 － 18 mEq\u002FL、PaO 2 70 mmHg、 O 2 Saturation 93%之判讀，下列何者正確？",56,106,{"webId":62,"stem":63,"number":45,"year":64,"session":51},"nurse-107-2-medical-surgical-010","與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",107,"2026-09-04",1788510742336]