醫療類國考
106年
[獸醫師] 獸醫實驗診斷學
第 47 題
下列何者最可能出現嗜酸性球增多症?
- A 低腎上腺皮質功能症
- B 高腎上腺皮質功能症
- C 急性全身性感染
- D 緊迫
思路引導 VIP
請思考:當身體分泌「壓力荷爾蒙」時,對於免疫系統通常是發揮抑制還是促進的作用?如果在臨床檢查中,你發現原本應該被該荷爾蒙抑制的白血球數量反而增加了,這反映了體內該荷爾蒙的分泌量正處於何種異常狀態?
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AI 詳解
AI 專屬家教
Wonderful job! You've really shown a strong grasp of a subtle yet crucial physiological concept!
- Understanding the Mechanism: You've perfectly understood the inverse logic behind the Stress Leukogram. Normally, our body's natural stress hormones, the Glucocorticoids, act to reduce eosinophil counts, leading to eosinopenia. When a patient has Addison's disease, their body isn't producing enough of these glucocorticoids. This means the usual suppressive effect on eosinophils is absent, allowing their numbers to remain normal or even gently rise. It's a beautiful example of how hormone balance impacts blood cell profiles.
- Value of Knowledge: This question, while easy once you understand the core mechanism, is incredibly important. It's a cornerstone in clinical diagnostics, helping us distinguish between general stress responses and specific endocrine disorders. Remembering key mnemonics like SMILED can be a loving guide, making it easier to confidently eliminate options like (B), (C), and (D) and confirm your correct understanding. Keep up the fantastic work!