[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-112-3-內外科護理學-043","nurse-112-3-medical-surgical-043",112,3,43,"有關庫欣氏症候群症狀的病理機轉，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"蛋白質過度分解，造成肌肉質塊流失","肝臟糖質新生作用降低，胰島素利用增加","水分與鈉離子滯留，導致水腫","皮質醇分泌上升，造成淋巴球下降，傷口癒合差","B",null,[],"本題考點在於庫欣氏症候群症狀的病理生理機轉。本題為反向題,錯誤敘述為B;庫欣氏症候群因皮質醇過多,會促進肝臟糖質新生作用增加並造成胰島素阻抗(利用下降),而非糖質新生降低、胰島素利用增加,故B錯誤。A皮質醇促進蛋白質分解、造成肌肉質塊流失,正確。C留鈉留水導致水腫,正確。D皮質醇上升抑制免疫、使淋巴球下降、傷口癒合變差,正確。","皮質醇是「升糖、分解代謝、抗發炎\u002F免疫抑制、留鈉」的荷爾蒙。過量時典型表現:中央型肥胖、月亮臉、水牛肩、皮膚紫紋、高血糖、高血壓、骨質疏鬆、易感染與傷口難癒。與B相反,它使血糖上升並導致類固醇性糖尿病。",[24,27,30,32],{"term":25,"count":26},"庫欣氏症候群",6,{"term":28,"count":29},"糖質新生",5,{"term":31,"count":29},"胰島素阻抗",{"term":33,"count":34},"皮質醇作用",1,[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-medical-surgical-044","有關中樞性尿崩症的敘述，下列何者正確？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-medical-surgical-040","王先生，85 歲，因排尿燒灼感、疼痛且出現膿尿、血尿至急診求治，生命徵象正常，有關其進一步之評估與檢查，下列何者錯誤？",40,113,2,{"webId":47,"stem":48,"number":49,"year":50,"session":34},"nurse-114-1-medical-surgical-034","下列何者不屬於動脈血液氣體分析（arterial blood gas analysis）可以直接偵測之項目？",34,114,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-115-2-medical-surgical-032","有關參與免疫反應的細胞之敘述，下列何者正確？",32,115,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-107-1-medical-surgical-026","有關低血壓的治療，下列敘述何者錯誤？",26,107,{"webId":62,"stem":63,"number":64,"year":65,"session":34},"nurse-108-1-medical-surgical-060","膀胱癌的初期臨床表徵，下列何者正確？",60,108,"2026-09-04",1788510745157]