[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-113-2-內外科護理學-046","nurse-113-2-medical-surgical-046",113,2,46,"下列何者是副甲狀腺功能亢進的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"骨痛、便秘","少尿、尿比重上升","胃泌素分泌減少，引起萎縮性胃炎","鈣沉積在眼睛組織形成凸眼症","A",null,[],"本題考點在於副甲狀腺功能亢進因副甲狀腺素（PTH）過多導致的高血鈣相關表徵。PTH 升高促進骨鈣釋出與腸腎鈣吸收，造成骨質流失而骨痛、骨折，並因高血鈣抑制腸道蠕動而便秘，故 A（骨痛、便秘）正確。B 錯在高血鈣影響腎濃縮功能造成多尿、尿比重下降，而非少尿、比重上升；C 副甲亢與胃泌素、萎縮性胃炎無直接因果，且高血鈣反而刺激胃酸分泌；D 凸眼症是葛瑞夫茲病（甲狀腺亢進）的表現，與副甲狀腺鈣沉積無關。","高血鈣症狀口訣：Stones（腎結石）、Bones（骨痛骨折）、Groans（腹痛便秘、消化性潰瘍）、Moans\u002FPsychiatric overtones（倦怠、憂鬱、意識改變）。PTH 主軸=升鈣降磷。對比副甲低下=低血鈣、Trousseau\u002FChvostek 徵象、抽搐。凸眼、便秘、多尿等要能各歸其位，別把甲狀腺與副甲狀腺混淆。",[24,26,28,31],{"term":25,"count":10},"副甲狀腺功能亢進",{"term":27,"count":10},"副甲狀腺素 PTH",{"term":29,"count":30},"高血鈣症狀",1,{"term":32,"count":30},"骨質流失",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-047","當一人施行心肺復甦術（CPR）時，下列何者應先施行 2 分鐘的急救後再求救？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-114-1-medical-surgical-043","有關服用治療甲狀腺機能亢進之放射性碘（ 131I）的敘述，下列何者正確？",43,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-037","有關低血容性休克分期的進行期，下列敘述何者最不適當？",37,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-2-medical-surgical-005","有關巴金森氏症病人服用 levodopa 藥物之護理指導，下列何者正確？①補充維生素 B 6 以促進藥物吸收 ②補充高蛋白飲食以增加藥物效果 ③可能會出現舞蹈症或不自主運動 ④長期使用會出現 on-off 反應",5,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-049","有關評估火場中病人是否有吸入性灼傷之敘述，下列何者錯誤？",49,107,{"webId":59,"stem":60,"number":47,"year":61,"session":30},"nurse-109-1-medical-surgical-003","有關暫時性缺血發作（transient ischemic attack; TIA）使用藥物治療，下列何者正確？",109,"2026-09-04",1788510755271]