[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-021":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-112-2-基礎醫學-021","nurse-112-2-basic-medicine-021",112,2,21,"一位 18 歲男性因四肢水腫而就醫。他被發現有明顯蛋白尿和高血脂，但是腎臟功能和血壓均正常。腎臟切片的光學顯微鏡檢查顯示正常腎小球構造，但電子顯微鏡檢查發現足細胞（podocyte）突起消失。引起此病人水腫的最可能機轉為下列何者？",{"A":15,"B":16,"C":17,"D":18},"鉀離子貯積","血管內壓上升","高血脂症","血液滲透壓下降","D",null,[],"本題考點在於腎病症候群（nephrotic syndrome）水腫的核心機轉。依題目線索，光鏡正常、電鏡見足細胞突起（foot process）消失，符合微小病變腎病；大量蛋白尿造成血中白蛋白流失、血漿膠體滲透壓（oncotic pressure）下降，使血管內水分留不住而外滲至組織間隙產生水腫，故選 D。A 鉀離子貯積與腎功能衰竭相關，但本題腎功能正常；B 血管內壓上升屬心因性或高血壓性水腫機轉，與此不符；C 高血脂是低白蛋白的代償結果之一，並非造成水腫的直接原因。",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？",6,1783840769975]