[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-027":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-027","nurse-112-2-basic-medicine-027",112,2,27,"李先生因持續便血而至醫院看診，醫師為他做了大腸鏡切片發現是乙狀結腸癌（Sigmoid Colon Cancer），且肝臟有一可疑病灶。手術切除大腸與部分肝臟之後的病理診斷為分化差的腺癌（poorly-differentiated adenocarcinoma），分期為 T3N1M0。從這個診斷中可以得知下列那項資訊？",{"A":15,"B":16,"C":17,"D":18},"此惡性腫瘤來自間質細胞（mesenchymal cells）","分化差（poorly-differentiated）是指腫瘤細胞和正常結腸細胞十分相似","N1 指的是病人的腫瘤已侵犯神經（nerves）","此腫瘤沒有遠端轉移（distant metastasis）代號： 1102 頁次： 4－3","D",null,[],"本題考點在於腫瘤 TNM 分期與分化程度的判讀。依 TNM 定義，M 代表遠端轉移，M0 即表示無遠端轉移，故由 T3N1M0 可確認選 D 正確；題中肝臟病灶經病理仍歸為此分期，說明未判定為遠端轉移。A 錯在腺癌來自上皮細胞而非間質細胞（間質來源為肉瘤 sarcoma）；B 錯在分化差（poorly-differentiated）指腫瘤細胞與正常結腸細胞差異大、不相似；C 錯在 N1 指區域淋巴結（node）轉移而非侵犯神經，三者定義均遭混淆。",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？",6,1783840770019]