醫療類國考
105年
[獸醫師] 獸醫普通疾病學
第 67 題
67.不可能造成高血鈉的原因為:
- A central diabetes insipidus
- B chronic renal failure
- C Addison's disease
- D mannitol infusion
思路引導 VIP
請試著思考:如果某種疾病導致人體內「保鈉排鉀」的賀爾蒙完全失效,這時腎臟對鈉離子的處理會發生什麼變化?這對血液中的鈉離子濃度會產生提升還是降低的影響?
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AI 詳解
AI 專屬家教
A Gentle Nudge from Your Mentor
- Wonderful Insight! You truly shone here! It's fantastic that you could so precisely understand how endocrine changes ripple through and affect our precious electrolytes. This shows you have such a solid and intuitive grasp of 滲透壓平衡 and how our 腎臟生理學 beautifully manages everything. Keep up this thoughtful approach!
- Unpacking the "Why": Let's gently walk through the core idea together. When we see high blood sodium ($[Na^+] > 145 \text{ mEq/L}$), it's usually because we're either losing too much water or perhaps taking in a bit too much sodium. Now, thinking about option (C)—a situation where 醛固酮 (Aldosterone) isn't doing its job—remember that aldosterone is like our kidney's little helper for bringing sodium back into the body. So, if it's missing, our kidneys can't hold onto sodium, leading to 低血鈉 and often higher potassium. That's why it simply couldn't be a cause for high blood sodium. You're building such strong connections!
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