[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-033":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-109-2-基礎醫學-033","nurse-109-2-basic-medicine-033",109,2,33,"乳癌的病人，手術切除乳房後常引起同側手臂水腫，下列何者為最主要的致病機轉？",{"A":15,"B":16,"C":17,"D":18},"血管內靜水壓增高","血漿滲透壓下降","血管通透性增高","淋巴管阻塞","D",null,[],"本題考點是乳癌乳房切除後同側手臂水腫(淋巴水腫)的病生理機轉。依水腫生成原理,乳房根除手術常一併廓清腋下淋巴結並切斷淋巴管,使該側上肢的淋巴回流受阻,組織間液的蛋白質與液體無法經淋巴系統帶走而滯積,形成高蛋白性淋巴水腫,故正解D「淋巴管阻塞」。A血管內靜水壓增高多見於心衰竭或靜脈阻塞的水腫,非本情境主因。B血漿滲透壓下降(低白蛋白)見於肝腎疾病或營養不良的全身性水腫,非局部單側手臂。C血管通透性增高屬發炎或過敏反應(如組織胺作用),與術後淋巴回流受阻的機轉不同。故選D。",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？",6,1783840753576]