[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-074","nurse-112-2-medical-surgical-074",112,2,74,"有關甲狀腺功能低下之臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"周邊血管阻力增加","聽診心臟有分裂音","葡萄糖吸收增加","惡性（巨球性）貧血","C",null,[],"本題考點在甲狀腺功能低下的臨床表徵，屬反向題,要找出錯誤者。依其病生理，甲狀腺素不足使全身代謝率下降，腸道對葡萄糖的吸收隨之減慢而非增加,錯誤敘述為 C(「葡萄糖吸收增加」與低代謝狀態矛盾)。A 因代謝率降低、心輸出量下降，身體代償性收縮周邊血管以維持血壓，故周邊血管阻力增加,正確。B 心肌收縮無力與心包積液可致聽診出現分裂音或心音低鈍,正確。D 部分甲狀腺功能低下與自體免疫(如惡性貧血)並存，可見惡性(巨球性)貧血,正確。","甲狀腺素主宰基礎代謝率，功能低下=全身「慢下來」:怕冷、心搏過緩、便秘、體重增加、反應遲鈍、黏液水腫。腸道吸收與代謝皆下降,故葡萄糖吸收減慢。周邊血管阻力上升是為維持血壓的代償。自體免疫性甲狀腺炎(橋本氏)常合併其他自體免疫病如惡性貧血(維生素 B12 缺乏致巨球性貧血)。對比甲狀腺功能亢進(全身加速:怕熱、心悸、體重下降、腹瀉)。可連結甲狀腺素回饋軸與 TSH\u002FT4 判讀複習。",[24,27,30,32,35],{"term":25,"count":26},"甲狀腺功能低下",5,{"term":28,"count":29},"巨球性貧血",3,{"term":31,"count":10},"代謝率下降",{"term":33,"count":34},"葡萄糖吸收減少",1,{"term":14,"count":34},[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-medical-surgical-075","下列何者為永久性心臟節律器之適應症？",75,{"webId":42,"stem":43,"number":44,"year":45,"session":34},"nurse-113-1-medical-surgical-041","有關良性前列腺肥大（BPH）之敘述，下列何者錯誤？",41,113,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-113-3-medical-surgical-035","有關肺結核病人的出院護理指導，下列何者正確？",35,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-115-1-medical-surgical-033","王先生使用呼吸器，突然呼吸器出現壓力過高警報，下列何者為可能的原因？",33,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-medical-surgical-057","肺炎病人接受抗生素治療，下列何者表示抗生素已發揮作用？",57,106,{"webId":61,"stem":62,"number":63,"year":64,"session":34},"nurse-108-1-medical-surgical-011","下列何者為食道重建術後最嚴重的合併症？",11,108,"2026-09-04",1788510747931]