[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-045":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-113-3-內外科護理學-045","nurse-113-3-medical-surgical-045",113,3,45,"有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"低血鉀性鹼中毒","皮膚變厚成水牛肩","體毛及鬢毛減少","葡萄糖新生減少","A",null,[],"本題考點在於庫欣氏症候群(Cushing's syndrome)的臨床與代謝表徵。依機轉，皮質醇過多具留鈉排鉀作用，造成低血鉀併代謝性鹼中毒，故選 A。B 錯在特徵為脂肪重新分布形成水牛肩與月亮臉，並非皮膚變厚，皮膚反而變薄、易瘀斑；C 錯在皮質醇與雄性素增加常使體毛增多而非減少；D 錯在皮質醇促進糖質新生使血糖上升，並非葡萄糖新生減少，皆與病生理相反。","庫欣氏症候群源於皮質醇長期過量，典型呈現向心性肥胖、月亮臉、水牛肩、皮膚變薄與紫紋、高血糖、高血壓、低血鉀性鹼中毒與骨質疏鬆。與愛迪生氏症(皮質醇不足)恰成對照，抓住「皮質醇留鈉排鉀、升糖、促糖質新生」即能反推各項電解質與代謝變化。",[24,27,30,31,33],{"term":25,"count":26},"庫欣氏症候群",6,{"term":28,"count":29},"皮質醇過多",1,{"term":14,"count":29},{"term":32,"count":29},"留鈉排鉀",{"term":34,"count":29},"糖質新生增加",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-medical-surgical-046","有關腦下垂體中風之臨床表徵，下列何者錯誤？",46,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-medical-surgical-042","有關腦下垂體前葉分泌的激素，下列何者正確？①生長素（growth hormone） ②促乳素（prolactin） ③催產素（oxytocin） ④抗利尿素（ADH）",42,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-115-1-medical-surgical-036","有關肺栓塞造成的通氣與灌流比失衡（ventilation and perfusion mismatch）之敘述，下列何者正確？",36,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-medical-surgical-054","有關慢性支氣管炎的病理變化，下列何者錯誤？",54,106,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-108-1-medical-surgical-018","有關膝關節損傷之評估方式，下列何者錯誤？",18,108,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-109-1-medical-surgical-052","外傷性肋骨骨折病人可能出現之徵候與症狀，下列何者正確？",52,109,"2026-09-04",1788510752889]