[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-114-1-內外科護理學-044","nurse-114-1-medical-surgical-044",114,1,44,"有關肢端肥大症之症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"泌尿系統：低血鈣症、腎結石","骨骼系統：關節痛、肌肉無力","神經系統：腕隧道症候群、嗜睡","皮膚系統：皮膚增厚、油脂增多","A",null,[],"本題考點在於肢端肥大症的臨床症狀辨識，屬反向題，須挑出錯誤者。依其病生理，肢端肥大症因生長激素過度分泌所致，骨骼與軟組織過度生長造成關節痛、肌肉無力（B），神經受壓引起腕隧道症候群、並可能因腦下垂體腫瘤壓迫而嗜睡（C），皮膚增厚、皮脂分泌增多（D），皆為典型表現。A說泌尿系統出現低血鈣症則錯誤，生長激素過多常伴隨鈣磷代謝改變而傾向高血鈣與腎結石，並非低血鈣，故A為本題答案。","肢端肥大症多源於腦下垂體生長激素腺瘤，成人骨骺已閉合故肢端與顏面骨增厚（手腳變大、下顎前突、額突）。生長激素透過類胰島素生長因子作用促進組織增生，並影響代謝造成葡萄糖耐受不良、高血磷與尿鈣增加而易生腎結石。腫瘤壓迫視交叉可致視野缺損。判題點：此症傾向鈣質偏高與結石，「低血鈣」與病理方向相反。",[24,27,30,33],{"term":25,"count":26},"腕隧道症候群",5,{"term":28,"count":29},"肢端肥大症",3,{"term":31,"count":32},"生長激素過多",2,{"term":34,"count":32},"腎結石",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-045","有關尿崩症病人之護理處置，下列何者錯誤？",45,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-114-3-medical-surgical-041","有關中樞性尿崩症，下列敘述何者最適當？",41,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-115-2-medical-surgical-035","有關肺栓塞病人護理措施之敘述，下列何者最不適當？",35,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-medical-surgical-023","有關鼻部手術後病人護理措施及指導之敘述，下列何者錯誤？",23,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-067","有關甲狀腺機能低下病人的臨床表徵，下列何者正確？",67,108,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-109-2-medical-surgical-021","病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",21,109,"2026-09-04",1788510757576]