[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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":23},"nurse-107-2-基礎醫學-048","nurse-107-2-basic-medicine-048",107,2,48,"40 歲女性，有全身疲倦、輕度發燒及關節僵硬，特別是清晨起床時，左右手指及肘關節。抽血檢查發現有類風濕性因子（rheumatoid factor）。這位女性最有可能罹患下列何者疾病？",{"A":15,"B":16,"C":17,"D":18},"黏連性脊椎關節炎（ankylosing spondyloarthritis）","類風濕性關節炎（rheumatoid arthritis）","退化性關節炎（degenerative arthritis）","痛風性關節炎（gouty arthritis）","B",null,[],"本題考點是對稱性小關節晨僵合併類風濕因子的診斷。依風濕病學,類風濕性關節炎的典型表現為對稱性侵犯手指（掌指、近端指間關節)與腕、肘等小關節、晨間僵硬超過一小時、且多數病人類風濕因子陽性,與本題吻合,故選 B。A 黏連性脊椎炎好發年輕男性、以中軸與薦腸關節為主、與 HLA-B27 相關,非對稱性手部小關節。C 退化性關節炎為機械性磨損,好發承重與遠端指間關節、晨僵短暫,類風濕因子陰性。D 痛風性關節炎多為急性單關節（典型第一蹠趾關節)紅腫熱痛,與尿酸鹽結晶有關,非對稱性晨僵。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":11,"year":28,"session":23},"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）？",{"webId":33,"stem":34,"number":35,"year":28,"session":23},"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":28,"session":23},"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":28,"session":23},"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":28,"session":23},"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？",6,1783840749624]