[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-115-1-內外科護理學-044","nurse-115-1-medical-surgical-044",115,1,44,"有關腦下垂體前葉功能低下之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"席漢氏症候群（Sheehan’s syndrome）發生於腦下垂體切除的病人","以生長素（growth hormone）缺乏最常見","病人可能會有軟弱無力、血糖偏低等臨床表徵","病人可能會有黏液水腫症狀","A",null,[],"本題考點在腦下垂體前葉功能低下的成因與臨床表現。席漢氏症候群指產後大出血造成休克,懷孕期已增大的腦下垂體因灌流不足而發生缺血性壞死,導致前葉多種激素缺乏,並不是發生在腦下垂體切除的病人身上,切除造成的是手術後泛腦下垂體功能低下,故 A 錯誤。B 正確,前葉功能低下時以生長素缺乏出現得最早、最常見。C 正確,ACTH 不足使皮質醇下降,表現軟弱無力、食慾不佳與血糖偏低。D 正確,TSH 不足造成次發性甲狀腺功能低下,可出現黏液水腫、怕冷、皮膚粗乾與活動力下降等症狀。","前葉六種激素為生長素(GH)、TSH、ACTH、FSH、LH 與泌乳素,受損時的缺乏順序常見為 GH 與性腺激素先受影響,再到 TSH,最後是 ACTH,因此臨床先看到生長遲滯或性功能與月經異常,後期才出現低血糖與低血壓等腎上腺不足表現;席漢氏症候群的早期線索是產後無法泌乳加上月經未恢復。後葉的問題自成另一組,名詞要寫對:抗利尿激素(ADH)不足造成尿崩症(diabetes insipidus),表現大量低比重尿、口渴與高血鈉;分泌過多則是抗利尿激素不當分泌症候群(SIADH),表現水分滯留、低血鈉與尿液濃縮,兩者的血鈉方向恰好相反,是最常考的對比。可延伸複習:水剝奪試驗、腦下垂體腫瘤壓迫視交叉造成雙側顳側視野缺損、激素替代的追蹤指標。",[24,26,28,30,32],{"term":25,"count":10},"席漢氏症候群",{"term":27,"count":10},"腦下垂體前葉功能低下",{"term":29,"count":10},"生長素缺乏",{"term":31,"count":10},"次發性甲狀腺功能低下",{"term":33,"count":10},"抗利尿激素與尿崩症",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-medical-surgical-045","劉女士因血糖控制不佳入院，下列病人平日之飲食攝取比例，何者不適宜？①碳水化合物類的食物約占每日總熱量的50～60％    ②脂肪類的食物約占每日總熱量的5～10％     ③飽和脂肪類的食物小於7％    ④蛋白質類的食物約占每日總熱量的30～35％",45,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-medical-surgical-041","有關乳癌之敘述，下列何者錯誤？",41,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-medical-surgical-055","有關慢性阻塞性肺部疾病病人的飲食指導，下列何者錯誤？",55,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-1-medical-surgical-013","有關膽結石引起膽囊炎合併總膽管阻塞病人的糞便顏色，下列何者正確？",13,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-medical-surgical-057","王先生因急性腎衰竭而急診入院，目前檢驗測得 arterial blood gas 為 pH：7.23，PaCO 2 ：32 mmHg， HCO 3 －：17.5 mEq\u002FL，PaO 2 ：82 mmHg，SaO 2 ：98%，此結果屬：",57,109,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-110-2-medical-surgical-011","有關肝硬化之飲食建議，下列何者正確？",11,110,"2026-08-06",1787299089070]