[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-113-2-內外科護理學-019","nurse-113-2-medical-surgical-019",113,2,19,"下列何者不是骨質疏鬆症之危險因素？",{"A":14,"B":15,"C":16,"D":17},"接受卵巢切除手術","中風癱瘓長期臥床","副甲狀腺機能低下","過度飲用咖啡","C",null,[],"本題考點在於骨質疏鬆症的危險因子辨識,屬反向題。依骨代謝機轉,副甲狀腺素(PTH)會促進蝕骨作用使鈣自骨中釋出,故「機能亢進」才會加速骨流失;C 所述「副甲狀腺機能低下」PTH 減少,骨吸收反而下降,並非危險因子,即為答案。A 正確為危險因子,卵巢切除使雌激素驟降、破骨活性增加。B 正確,長期臥床缺乏承重刺激造成廢用性骨流失。D 正確,過量咖啡因增加尿鈣排出、干擾鈣吸收。整體以「加速骨吸收\u002F減少骨生成」為判準,唯低下的 PTH 方向相反。","骨質疏鬆危險因子可歸為荷爾蒙(停經、雌激素低)、機械(臥床、失重)、營養(鈣\u002F維生素 D 不足、咖啡因菸酒)與內分泌(副甲狀腺亢進、庫欣、甲亢)。PTH 高→蝕骨↑,PTH 低→骨流失少。記憶:讓骨頭「被吃掉」的才是危險因子,PTH 低下是反例。",[24,27,29,32],{"term":25,"count":26},"骨質疏鬆危險因子",3,{"term":28,"count":10},"雌激素缺乏",{"term":30,"count":31},"副甲狀腺素與蝕骨作用",1,{"term":33,"count":31},"廢用性骨流失",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-020","有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-medical-surgical-016","進行心臟復健時如出現活動耐力不足時應停止，下列何者不是其判斷依據？",16,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-medical-surgical-010","有關膽囊癌，下列敘述何者最不適當？",10,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-106-1-medical-surgical-058","評估呼吸道阻塞嚴重度的指標，下列何者最重要？",58,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-022","有關青光眼藥物作用的敘述，下列何者正確？",22,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-056","下列何者為支氣管擴張症最主要的病因？",56,108,"2026-09-04",1788510755023]