[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-073":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":26},"nurse-112-2-內外科護理學-073","nurse-112-2-medical-surgical-073",112,2,73,"有關第 1 型糖尿病之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病因與自體免疫反應有關","空腹血清 C-胜肽濃度無法偵測","會慢慢出現無症狀的高血糖情形","常見合併症為酮酸中毒（DKA）","C",null,[],"本題考點在第 1 型糖尿病的疾病特徵，屬反向題,要找出錯誤者。依其病生理，第 1 型因自體免疫破壞胰島 β 細胞使胰島素急遽缺乏，起病急、常以高血糖症狀甚至酮酸中毒表現,錯誤敘述為 C(「慢慢出現無症狀的高血糖」是第 2 型的典型病程,非第 1 型)。A 病因與自體免疫反應有關,正確。B 因 β 細胞破壞、內生胰島素幾近零，反映內生分泌的空腹血清 C-胜肽濃度極低而無法偵測,正確。D 因胰島素絕對缺乏、脂肪大量分解產生酮體，常見合併症為糖尿病酮酸中毒(DKA),正確。","第 1 型 vs 第 2 型對比是高頻考點。第 1 型:自體免疫、β 細胞破壞、C-peptide 低或測不到、發病急且年輕、以 DKA 表現、須終身胰島素。第 2 型:胰島素阻抗合併相對分泌不足、起病緩、常無症狀被健檢發現、C-peptide 正常或偏高、以高血糖高滲透壓狀態(HHS)為急性併發症。C-peptide 是內生胰島素的替代指標，可鑑別兩型。DKA 三特徵:高血糖、酮血症\u002F酮尿、代謝性酸中毒。可連結 DKA 與 HHS 處置對照複習。",[24,27,29,31,33],{"term":25,"count":26},"第 1 型糖尿病",1,{"term":28,"count":26},"自體免疫 β 細胞破壞",{"term":30,"count":26},"C-胜肽偵測不到",{"term":32,"count":26},"酮酸中毒 DKA",{"term":34,"count":26},"第 2 型緩慢無症狀病程",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-074","有關甲狀腺功能低下之臨床表徵，下列何者錯誤？",74,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-113-1-medical-surgical-040","韓小姐的動脈血液氣體分析結果為pH 7.44、PaCO 30 mmHg、HCO - 20 mmHg、PaO 82 mmHg，根據以上數 2           3             2 值，判讀結果下列何者正確？",40,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,3,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-115-1-medical-surgical-032","王先生剛接受支氣管鏡檢查後返回病室，下列護理措施何者最適當？",32,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-medical-surgical-056","接受胸腔放液穿刺術後的病人，需監測的合併症，不包括下列何者？",56,106,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-108-1-medical-surgical-010","有關口腔癌之敘述，下列何者錯誤？",10,108,"2026-09-04",1788510747927]