[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"freq":23},"nurse-108-2-基礎醫學-024","nurse-108-2-basic-medicine-024",108,2,24,"一位 50 歲女性有低血鈣、高血磷與低尿磷等症狀，注射副甲狀腺素（PTH）治療會增加尿液中 cAMP 的濃度，此女士可能罹患下列何種疾病？",{"A":15,"B":16,"C":17,"D":18},"原發性副甲狀腺機能亢進","次發性副甲狀腺機能亢進","原發性副甲狀腺機能低下","次發性副甲狀腺機能低下","C",null,[],"本題考點為副甲狀腺功能低下的鑑別。患者低血鈣、高血磷,注射副甲狀腺素(PTH)後尿中cAMP能上升,代表腎臟對PTH的受體反應正常,問題出在PTH分泌不足,屬原發性副甲狀腺機能低下,選C。A原發性亢進會呈高血鈣、低血磷,與本題相反。B次發性亢進多因慢性腎病或低血鈣長期刺激,PTH代償升高,血鈣多偏低但PTH是高的。D次發性低下並非標準診斷框架,且若為受體阻抗(假性低下),注射PTH後尿cAMP不會上升。判斷關鍵在於「注射PTH後cAMP有反應,排除受體缺陷,定位於PTH本身分泌不足」的原發性低下。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":11,"year":28,"session":23},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",{"webId":33,"stem":34,"number":35,"year":28,"session":23},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":37,"stem":38,"number":39,"year":28,"session":23},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":28,"session":23},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":28,"session":23},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840757265]