[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"freq":11},"nurse-106-1-基礎醫學-048","nurse-106-1-basic-medicine-048",106,1,48,"一位 18 歲男性病人右膝疼痛，影像醫學檢查發現右側股骨骺端有一個界線不清楚的溶骨性病灶，且在骨膜上有柯德曼三角形（Codman triangle）的特徵。切片下顯示有許多過染性（hyperchromatic），非典型的紡錘狀（spindle）細胞增生，偶爾可見有類骨質（osteoid）的基質和有絲分裂。它最有可能是何種腫瘤？",{"A":15,"B":16,"C":17,"D":18},"軟骨瘤（chondroma）","骨肉瘤（osteosarcoma）","多發性骨髓瘤（multiple myeloma）","尤汶氏肉瘤（Ewing sarcoma）","B",null,[],"本題考點為骨腫瘤的影像與病理鑑別。依骨科病理,年輕人股骨骺端界線不清的溶骨性病灶、骨膜上柯德曼三角形(Codman triangle),加上切片見異型紡錘狀細胞產生類骨質(osteoid),最符合骨肉瘤(osteosarcoma),故正解為 B。軟骨瘤為良性、產生軟骨基質而非類骨質,A 錯。多發性骨髓瘤好發於年長者、呈穿鑿狀溶骨且為漿細胞增生,C 錯。尤汶氏肉瘤為小圓藍細胞、常見洋蔥皮狀骨膜反應且不產生類骨質,D 錯。",[24,27,31,35,39,43],{"webId":25,"stem":26,"number":11,"year":10,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",{"webId":28,"stem":29,"number":30,"year":10,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":32,"stem":33,"number":34,"year":10,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840732261]