[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-021":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-112-1-基礎醫學-021","nurse-112-1-basic-medicine-021",112,1,21,"一位 46 歲肝硬化患者，最近 3 個月逐漸出現下肢水腫和大量腹水，下列何者與此病人之下肢水腫原因的關係最小？",{"A":15,"B":16,"C":17,"D":18},"血液滲透壓變小","門靜脈壓變大","鈉離子貯積","淋巴管阻塞","D",null,[],"本題考點在於肝硬化病人下肢水腫的成因，屬「找關係最小」題。肝硬化下肢水腫與腹水的主因包括：A肝合成白蛋白減少使血漿滲透壓下降（滲透壓變小、液體外滲）、B門靜脈高壓（門靜脈壓變大使靜水壓升高）、C續發性醛固酮增多使鈉離子與水分貯積，三者都與水腫直接相關。D淋巴管阻塞並非肝硬化水腫的主要機轉，肝硬化的水腫源於低白蛋白、門脈高壓與鈉水滯留，而非淋巴回流受阻，故關係最小、為答案。考點在於辨識肝硬化水腫的三大機轉，排除淋巴阻塞。",[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？",6,1783840769515]