[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-041":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-041","nurse-109-2-basic-medicine-041",109,2,41,"一位58歲的女性出現雷諾氏現象（Raynaud’s phenomenon）及食道運動功能障礙，血清學檢查抗核抗體試驗呈陽性反應，此婦人最有可能罹患下列何種病症？",{"A":15,"B":16,"C":17,"D":18},"系統性紅斑性狼瘡（SLE）","斯耶格雷症候群","格雷夫氏症（Graves disease）","侷限性硬皮病（limited systemic sclerosis）代號： 1106 頁次： 6－4","D",null,[],"本題考點是結締組織疾病的臨床與血清學辨識。依風濕免疫學,病人同時具雷諾氏現象、食道運動障礙且抗核抗體(ANA)陽性,最符合侷限性系統性硬皮病(即CREST症候群),故正解D。CREST代表鈣沉積、雷諾現象、食道障礙、指端硬化與微血管擴張,與題幹高度吻合。A系統性紅斑性狼瘡雖ANA陽性,但典型以蝴蝶斑、關節炎、腎炎為主,不以雷諾加食道障礙為核心。B修格連氏症候群以乾眼乾口與淋巴球浸潤腺體為主。C格雷夫氏症是甲狀腺自體免疫亢進,與雷諾及食道障礙無關。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？",6,1783840753768]