— 生理適應 · MEDIUM · MCQ —
評估一位庫欣氏症候群（Cushing's syndrome）病人，護理師預期會發現什麼？
A nurse is assessing a client with Cushing's syndrome. What findings should the nurse expect?
- AHypotension低血壓
- BMoon face and buffalo hump✓ 正解月圓臉和水牛肩
- CIncreased muscle mass肌肉量增加
- DWeight loss體重減輕
— Explanation · 中文詳解 —
庫欣氏症候群（Cushing's syndrome）源於糖皮質素過多。臨床表現包括：中心性肥胖（軀幹肥胖）、月亮臉（Moon face）、水牛肩（Buffalo hump）、皮膚變薄、紫色條紋（Purple striae）、高血壓、肌肉萎縮（特別是四肢）、骨質疏鬆以及血糖升高。這些是由於皮質醇過多導致的代謝異常。
Cushing's syndrome results from excess glucocorticoids, leading to characteristic fat redistribution that manifests as a moon face and a buffalo hump. Clients typically experience weight gain, hypertension, and muscle wasting rather than weight loss or increased muscle mass.