[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-029":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-114-3-基礎醫學-029","nurse-114-3-basic-medicine-029",114,3,29,"庫欣症候群（Cushing syndrome）病患，左右兩側腎上腺變大，血中 ACTH 上升，下列病因何者最為可能？",{"A":15,"B":16,"C":17,"D":18},"腎上腺皮質腺瘤（adrenocortical adenoma）","腎上腺嗜鉻細胞瘤（pheochromocytoma）","腦下垂體前葉腫瘤","長期使用類固醇","C",null,[],"本題考點在於庫欣症候群(Cushing syndrome)依ACTH高低鑑別病因。題目為雙側腎上腺增大且血中ACTH上升,屬『ACTH依賴型』,表示過量ACTH持續刺激兩側腎上腺皮質增生;最常見來源為腦下垂體前葉分泌ACTH的腺瘤(即庫欣氏病),故選C。腎上腺皮質腺瘤(A)自主分泌皮質醇會負回饋壓低ACTH、對側腎上腺萎縮;嗜鉻細胞瘤(B)分泌兒茶酚胺、非皮質醇病因;長期使用類固醇(D)為外因性,同樣抑制ACTH、腎上腺萎縮,皆與『ACTH上升且雙側增大』不符,故錯。",1,[25,29,33,36,40,44],{"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":32,"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）？",2,{"webId":34,"stem":35,"number":11,"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？",{"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？",6,1783840772948]