[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-112-2-內外科護理學-067","nurse-112-2-medical-surgical-067",112,2,67,"有關皮質醇（Cortisol）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是腎上腺皮質分泌最少的類固醇","皮質醇在血漿中的濃度以早上起床後 6～8 點濃度最高","會降低血糖","會降低身體對抗壓力及發炎的效果","B",null,[],"本題考點在皮質醇(Cortisol)的分泌特性與生理作用。依下視丘-腦垂體-腎上腺軸的日夜節律，皮質醇分泌呈晝夜變化，清晨起床後 6～8 點濃度最高、午夜最低,故 B 正確。皮質醇是腎上腺皮質分泌量最多、最主要的糖皮質素，A 說「分泌最少」錯誤。皮質醇透過促進糖質新生會升高血糖，C 說「降低血糖」錯誤。皮質醇本身能增強身體對抗壓力並具抗發炎作用，D 說「降低對抗壓力及發炎的效果」正好相反,錯誤。故僅 B 符合其分泌高峰的時間節律。","皮質醇由腎上腺皮質束狀帶分泌，是主要糖皮質素，作用可記「升糖、抗發炎、抗壓、蛋白質分解、保鈉」。日夜節律受 CRH-ACTH 驅動:清晨高峰讓身體迎接一天壓力，故臨床抽血驗皮質醇需標註時間、地塞米松抑制試驗也依此設計。庫欣氏症(過多)vs 愛迪生氏症(過少)為對比複習組:前者滿月臉、水牛肩、高血糖;後者低血鈉、低血糖、皮膚色素沉著。可連結負回饋軸與腎上腺功能檢查複習。",[24,26,29,31,33],{"term":25,"count":10},"糖皮質素",{"term":27,"count":28},"皮質醇",1,{"term":30,"count":28},"日夜節律",{"term":32,"count":28},"糖質新生升血糖",{"term":34,"count":28},"抗發炎抗壓作用",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-068","有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",68,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",34,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-medical-surgical-028","有關燒傷病人初期的血液檢查結果，下列何者正確？",28,3,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"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,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-medical-surgical-050","下列何者為確診病人有無肺結核感染最準確的方式？",50,106,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-108-1-medical-surgical-004","有關脊髓損傷所引起的神經性膀胱之敘述，下列何者正確？",4,108,"2026-09-04",1788510747858]