[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-044":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-044","nurse-111-1-basic-medicine-044",111,1,44,"下列那一項因素與波雷特氏食道（Barrett esophagus）發生腺癌（adenocarcinoma）最有關係？",{"A":15,"B":16,"C":17,"D":18},"上皮細胞的異生程度","波雷特氏食道的長短","波雷特氏食道的發炎程度","有無食道狹窄發生","A",null,[],"本題考點為波雷特氏食道（Barrett esophagus）進展為腺癌的最關鍵風險預測因子。Barrett 食道是長期胃食道逆流造成食道下段鱗狀上皮化生為柱狀上皮，其癌變是循「化生→異生（dysplasia）→腺癌」的順序演進，因此上皮細胞的異生程度（尤其高度異生 high-grade dysplasia）最能預測腺癌風險，選 A。波雷特食道的長短（B）雖與風險有些關聯但非最直接的決定因子。發炎程度（C）是背景刺激因素，而非癌變的直接病理指標。有無食道狹窄（D）反映的是逆流併發症與纖維化，與腺癌發生無直接因果。故追蹤 Barrett 食道以定期切片評估異生程度為核心。",[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？",6,1783840768419]