[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-1-基礎醫學-016","nurse-115-1-basic-medicine-016",115,1,16,"就多數情況而言，下列有關右肺肋面（costal surface）裂隙的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"上葉、中葉之間只有水平裂（horizontal fissure）","中葉、下葉之間只有斜裂（oblique fissure）","水平裂只作為上葉、中葉的分界，與下葉無涉","斜裂只作為中葉、下葉的分界，與上葉無涉","D",null,[],"本題考點在於右肺裂隙與三個肺葉的分界關係。依肺部解剖,右肺具水平裂與斜裂;斜裂在肋面上不只分隔中葉與下葉,其後上段同時構成上葉與下葉的分界,因此 D 敘述斜裂與上葉無涉是錯的,為本題答案。A 正確,上葉與中葉之間僅由水平裂分隔。B 正確,中葉與下葉之間的分界僅為斜裂。C 正確,水平裂自斜裂處往前水平延伸至肺前緣,只切出中葉的上界,不參與下葉的任何分界。掌握斜裂走向由後上往前下即可判斷。","體表投影記法:右肺斜裂大致沿第五肋間由後上斜向前下至第六肋與胸骨旁交會處,水平裂約沿第四肋走向前方——所以從背後聽診時,聽到的多半是下葉;從前胸上方聽到的是上葉,右前下側靠腋中線處才聽得到中葉。左肺只有斜裂、兩個肺葉,並以心臟壓迫形成心切迹與小舌,這也是左肺較窄的原因。臨床連結:肺葉切除、姿位引流與肺炎影像判讀都依賴這套分界;右中葉支氣管細長且淋巴結環繞,較易塌陷形成中葉症候群。延伸概念:支氣管肺節、右主支氣管較粗直短而異物與吸入性肺炎偏右。",[25,27,29,31,33],{"term":26,"count":11},"右肺水平裂",{"term":28,"count":11},"右肺斜裂",{"term":30,"count":11},"肺葉分界",{"term":32,"count":11},"肋面投影",{"term":34,"count":11},"左右肺構造差異",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-1-basic-medicine-017","下列有關子宮內膜（endometrium）的敘述，何者正確？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-106-1-basic-medicine-013","庫佛氏細胞（Kupffer's cell）位於肝小葉的何處？",13,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-basic-medicine-027","在正常的心電圖中，QRS 複合波是因下列何者產生的？",27,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-basic-medicine-065","下列何類抗生素主要影響細菌 DNA 的複製？",65,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-1-basic-medicine-029","下列何者藉由輔助擴散（facilitated diffusion）的方式，通過小腸上皮細胞之頂膜被吸收？",29,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-1-basic-medicine-063","下列何者的藥理作用機轉是抑制細胞內微小管（microtubule）的聚合，並具有較低的骨髓抑制作用？",63,110,"2026-08-06",1787299087619]