— 生理適應 · MEDIUM · MCQ —
護理師評估一位庫欣氏症候群（Cushing's syndrome）病人，預期會看到哪些臨床表現？
A nurse is assessing a client with Cushing's syndrome. Which clinical manifestations should the nurse expect?
- AHypotension and weight loss低血壓和體重減輕
- BHyperpigmentation of the skin皮膚色素沉著
- CMoon face and buffalo hump✓ 正解月亮臉和水牛肩
- DIncreased muscle mass肌肉量增加
— Explanation · 中文詳解 —
庫欣氏症候群（Cushing's syndrome）是由於長期暴露於高濃度的皮質醇（Cortisol）所致。皮質醇具有強大的代謝作用，會促進蛋白質分解及脂肪重新分佈。特徵性的體態改變包括軀幹性肥胖、臉部圓潤（月亮臉）及肩胛間脂肪堆積（水牛肩）。護理師應評估這些臨床徵象，並監測是否有高血糖、高血壓及免疫抑制等相關併發症。
Cushing's syndrome results from prolonged exposure to high cortisol levels, causing characteristic fat redistribution such as a moon face and buffalo hump. Unlike Addison's disease, which causes hyperpigmentation, Cushing's typically presents with hypertension and weight gain rather than hypotension and weight loss.