[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-041":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-107-1-基礎醫學-041","nurse-107-1-basic-medicine-041",107,1,41,"下列何者最容易出現在全胃切除（total gastrectomy）後發生貧血之患者？",{"A":15,"B":16,"C":17,"D":18},"血清中攜鐵蛋白（transferrin）濃度上升","紅血球的葡萄糖-6-磷酸去氫酶（glucose-6-phosphatedehydrogenase）降低","血清中 vitamin B 12 值降低","血清中抗紅血球抗體上升","C",null,[],"本題考點在全胃切除後的貧血機轉。胃壁細胞(parietal cell)分泌內在因子(intrinsic factor),是迴腸末端吸收 vitamin B12 的必要載體;全胃切除後內在因子來源全失,B12 無法吸收,數年後血清 B12 值下降並導致巨球性貧血,故選 C。A 攜鐵蛋白上升反映缺鐵而非胃切除的典型結果,且缺鐵時常見鐵儲存指標下降;B 葡萄糖-6-磷酸去氫酶(G6PD)缺乏是 X 染色體遺傳的溶血病因,與手術無關;D 抗紅血球抗體上升屬自體免疫溶血性貧血,機轉與內在因子缺乏無關。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"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":33,"stem":34,"number":35,"year":27,"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":37,"stem":38,"number":39,"year":27,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":27,"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":45,"stem":46,"number":47,"year":27,"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？",6,1783840739271]