[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-030":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-030","nurse-113-3-basic-medicine-030",113,3,30,"甲狀腺乳突癌（papillary carcinoma），下列何者最少見？",{"A":15,"B":16,"C":17,"D":18},"BRAF 基因突變","TP53 基因突變","毛玻璃樣細胞核（ground-glass nuclei）","細胞核內假包涵物（intra-nuclear pseudo-inclusions）","B",null,[],"本題考點在於甲狀腺乳突癌(papillary carcinoma)的分子與病理特徵,為反向題,要挑出「最少見」者。甲狀腺乳突癌最常見的驅動突變是 BRAF 基因(尤其 V600E),其細胞學特徵包括毛玻璃樣細胞核與核內假包涵物;而 TP53 突變主要出現在低分化癌與未分化(退行性)甲狀腺癌,在典型分化良好的乳突癌中相對少見,故 B 為正解。A BRAF 突變是乳突癌最常見的基因異常。C 毛玻璃樣(ground-glass\u002FOrphan Annie eye)細胞核是乳突癌診斷性特徵之一。D 核內假包涵物(細胞質內陷入核形成)也是乳突癌典型的核特徵。掌握「乳突癌以 BRAF 為主、TP53 屬未分化癌標記」的分子分層即可辨識 B。",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？",6,1783840771580]