[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-045":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-109-1-基礎醫學-045","nurse-109-1-basic-medicine-045",109,1,45,"一位 25 歲的女性近來莫名嗜睡且神智不清，影像學檢查發現胰臟有一個 2 公分的腫瘤，手術摘除後症狀完全消失，病理檢查結果為胰臟的神經內分泌瘤（neuroendocrine tumor）。她最可能罹患的是：",{"A":15,"B":16,"C":17,"D":18},"升糖素瘤（glucagonoma）","胰島素瘤（insulinoma）","胃泌素瘤（gastrinoma）","體制素瘤（somatostatinoma）","B",null,[],"本題考點是胰臟神經內分泌瘤的功能性分泌與臨床表現對應。病人嗜睡、神智不清是低血糖引起的神經性症狀，切除胰臟腫瘤後症狀消失，最可能是分泌胰島素的胰島素瘤（insulinoma），選 B。(A) 升糖素瘤造成高血糖、遊走性壞死性紅斑，與低血糖表現相反。(C) 胃泌素瘤（Zollinger-Ellison 症候群）造成頑固性消化性潰瘍、腹瀉，非低血糖。(D) 體制素瘤造成糖尿病、膽石、脂肪瀉，亦非低血糖。故引起低血糖神經症狀者為胰島素瘤，答案為 B。",[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？",6,1783840746250]