[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-115-2-內外科護理學-046","nurse-115-2-medical-surgical-046",115,2,46,"有關第 1 型與第 2 型糖尿病比較之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"第 2 型的病因可能與體內胰島素接受器的數目降低有關","第 2 型病程緩慢初期通常無症狀，或症狀輕微","絕大多數的糖尿病病人，都是屬於第 2 型糖尿病","多數體型偏瘦，多尿頻渴，有明顯第 2 型糖尿病史","D",null,[],"本題考點是第 1 型與第 2 型糖尿病的體型與病程對比。依病因分類,第 2 型以胰島素阻抗合併相對分泌不足為主,患者多數體型過重或腹部脂肪堆積,故 D 說多數體型偏瘦錯誤;體型偏瘦、發病較急、明顯多吃多喝多尿並伴體重減輕,反而是第 1 型胰島素絕對缺乏的典型表現。A 正確,周邊組織胰島素接受器數目減少或訊息傳遞效能下降是阻抗機轉之一。B 正確,第 2 型病程進展緩慢,早期常無症狀或僅輕微,不少人是健檢或併發症就診時才發現。C 正確,臨床上絕大多數糖尿病病人屬第 2 型。","延伸病生理:第 1 型是自體免疫破壞胰島 β 細胞導致胰島素幾近為零,因此缺乏胰島素抑制脂肪分解的作用,容易走向酮酸中毒;第 2 型仍有內生胰島素,較少酮體大量堆積,失控時偏向高血糖高滲透壓狀態,兩者的急性併發症走向不同就源於此。體型與年齡只是流行病學傾向而非絕對,近年兒童與青少年因肥胖罹患第 2 型並不罕見,反向誤判也常見於成人晚發型自體免疫糖尿病,考題若強調絕對化敘述通常就是錯項。記憶對照:第 1 型三多加體重減輕、必須注射胰島素;第 2 型胖、慢、常無症狀、可先用口服藥與生活型態調整。可連結概念:糖化血色素追蹤、慢性併發症的微小與大血管分類、體重管理與運動處方。",[24,27,30,32,34],{"term":25,"count":26},"胰島素阻抗",5,{"term":28,"count":29},"第 1 型與第 2 型糖尿病比較",1,{"term":31,"count":29},"胰島素接受器",{"term":33,"count":29},"疾病流行病學比例",{"term":35,"count":29},"三多症狀",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-medical-surgical-047","有關糖化血色素（HbA1c）檢查之敘述，下列何者錯誤？",47,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-106-2-medical-surgical-013","分泌胃酸之部位，下列何者正確？",13,106,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-107-1-medical-surgical-027","有關發生蘇莫吉效應（Somogyi effect）之敘述，下列何者正確？",27,107,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-108-1-medical-surgical-065","有關急性腎絲球腎炎（AGN）急性期之護理指導，下列何者正確？①多下床活動以避免下肢水腫 ②採高碳水化合物、低蛋白飲食 ③預防感染措施 ④鼓勵多喝水",65,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",29,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-110-2-medical-surgical-063","下列何者於檢查後，不會出現血尿情況？",63,110,"2026-08-06",1787299037364]