[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-037":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-111-1-基礎醫學-037","nurse-111-1-basic-medicine-037",111,1,37,"Heinz 氏小體是一種氧化的血紅素，下列何種溶血性貧血的紅血球內最常見到 Heinz 氏小體？",{"A":15,"B":16,"C":17,"D":18},"免疫性溶血性貧血（immunohemolytic anemia）","地中海型貧血（thalassemia）","鐮刀血球性貧血（sickle cell anemia）","葡萄糖-6-磷酸去氫酶缺乏症（glucose-6-phosphate dehydrogenase deficiency）","D",null,[],"本題考點在於 Heinz 氏小體(氧化變性的血紅素沉積)最常見於哪種溶血性貧血。葡萄糖-6-磷酸去氫酶(G6PD)缺乏症患者無法產生足夠 NADPH 以維持穀胱甘肽還原態,紅血球抗氧化能力不足,遇氧化壓力時血紅素被氧化變性沉積成 Heinz 氏小體,故選 D。A 免疫性溶血性貧血由抗體介導破壞紅血球,特徵為球形紅血球而非 Heinz 小體。B 地中海型貧血是血紅素鏈合成障礙,以標靶紅血球、小球性貧血為主。C 鐮刀血球性貧血因 HbS 聚合使紅血球鐮刀化,特徵為鐮刀狀紅血球。唯 G6PD 缺乏與 Heinz 小體最相關,故正解為 D。",[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？",6,1783840768364]