[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-109-2-內外科護理學-068","nurse-109-2-medical-surgical-068",109,2,68,"有關庫欣氏症候群症狀（Cushing’s syndrome）之病理機轉，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"軀幹性肥胖：糖皮質素對脂肪和蛋白質代謝影響所導致","高血壓：降低礦物皮質醇活化，導致水分與鈉離子滯留","免疫受抑制：白血球增多，抑制單核球作用與淋巴球下降","高血糖：肝臟糖質新生作用降低，胰島素利用增加所導致","C",null,[],"本題考點是庫欣氏症候群（Cushing's syndrome）的病理機轉。過量糖皮質素會促使嗜中性球增多（白血球上升）、同時抑制單核球功能並使淋巴球下降，整體造成免疫抑制，故選項C正確。選項B錯在庫欣氏症是礦物皮質醇活性「增加」導致水鈉滯留而高血壓，非降低；選項D錯在糖皮質素會「促進」肝臟糖質新生並造成胰島素阻抗，故高血糖，而非糖質新生降低。選項A雖提軀幹性肥胖，但糖皮質素對蛋白質是促進「分解代謝」造成四肢肌肉消瘦，中心性肥胖主要來自脂肪重新分佈，故其機轉敘述不夠精確，本題以C為標準答案。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840755365]