[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-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-113-3-基礎醫學-027","nurse-113-3-basic-medicine-027",113,3,27,"肝硬化（cirrhosis）會造成腹水（ascites）是和下列何種原因有關？",{"A":15,"B":16,"C":17,"D":18},"白蛋白（albumin）增加","白蛋白（albumin）降低","膽紅素（bilirubin）增加","膽紅素（bilirubin）降低","B",null,[],"本題考點在於肝硬化造成腹水的病生理機轉。肝硬化時肝細胞合成白蛋白能力顯著下降,導致低白蛋白血症、血漿膠體滲透壓降低,加上門脈高壓使肝竇與腸繫膜微血管靜水壓上升,兩者共同促使液體滲入腹腔形成腹水,故與白蛋白降低有關,選 B。A 白蛋白增加與事實相反,肝硬化是白蛋白減少。C、D 膽紅素的增減主要反映肝細胞處理膽色素與膽道排泄的能力,關聯的是黃疸,而非腹水形成的直接原因。掌握「肝硬化→白蛋白合成下降＋門脈高壓→膠體滲透壓低、靜水壓高→腹水」的雙重機轉,即可鎖定白蛋白降低為關鍵。",1,[25,29,33,36,40,44],{"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":32,"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）？",2,{"webId":34,"stem":35,"number":11,"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？",{"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？",6,1783840771561]