[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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":27},"nurse-115-1-基礎醫學-030","nurse-115-1-basic-medicine-030",115,1,30,"葡萄狀肉瘤（sarcoma botryoides）的腫瘤細胞是往那個方向分化（differentiation）？",{"A":15,"B":16,"C":17,"D":18},"妊娠組織（gestational tissue）","上皮細胞（epithelial cells）","平滑肌細胞（smooth muscle cells）","骨骼肌細胞（skeletal muscle cells）","D",null,[],"本題考點是特殊型態腫瘤的組織來源判定。葡萄狀肉瘤是胚胎型橫紋肌肉瘤的葡萄狀變異型，因腫瘤在陰道或子宮頸黏膜下呈葡萄串狀突出而得名，好發於嬰幼兒與女童。既然本質屬橫紋肌肉瘤，其腫瘤細胞就是往骨骼肌方向分化，顯微鏡下可見帶橫紋的橫紋肌母細胞，免疫染色 desmin、myogenin、MyoD1 呈陽性，故選 D。A 的妊娠組織來源對應的是妊娠絨毛膜疾病。B 的上皮細胞分化屬癌，而肉瘤源自間質。C 的平滑肌細胞分化則是平滑肌瘤或平滑肌肉瘤的特徵。","先用大分類定調再看細節，是解病理題最省力的路徑：名稱帶 sarcoma 就是間質來源，帶 carcinoma 才是上皮來源；接著看字根 rhabdo（橫紋）指骨骼肌、leiomyo 指平滑肌。橫紋肌肉瘤的三大亞型也常一起考：胚胎型最常見、好發幼兒頭頸與泌尿生殖道，葡萄狀是其黏膜突出的變異型；腺泡型多見於青少年四肢，帶 PAX3-FOXO1 融合基因，預後較差；多形型見於成人。記憶點是「葡萄串長在小女孩陰道口，來源是骨骼肌」。可連結概念：免疫組織化學標記、間質腫瘤分類、小圓藍細胞腫瘤。",[25,28,30,32],{"term":26,"count":27},"胚胎型橫紋肌肉瘤",2,{"term":29,"count":11},"葡萄狀變異型",{"term":31,"count":11},"骨骼肌分化",{"term":33,"count":11},"desmin 與 myogenin 標記",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-1-basic-medicine-031","下列何者可治療腹瀉及具有腸道抗菌效果，並可預防旅行腹瀉（traveler’s diarrhea）？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-106-1-basic-medicine-027","下列有關血壓的敘述，何者錯誤？",27,106,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-106-2-basic-medicine-041","下列有關缺鐵性貧血（iron deficiency anemia）的診斷條件，何者錯誤？",41,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-107-2-basic-medicine-079","下列病毒何者在複製過程中，並未經過反轉錄（reverse transcription）的階段？",79,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-109-1-basic-medicine-043","有關急性淋巴母細胞性白血病（Acute lymphoblastic leukemia\u002Flymphoma）的病理敘述，下列何者錯誤？",43,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-110-1-basic-medicine-077","有關梅毒螺旋菌（Treponema pallidum）的感染，下列敘述何者錯誤？",77,110,"2026-08-06",1787299087777]