[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-115-1-內外科護理學-021","nurse-115-1-medical-surgical-021",115,1,21,"惡性腫瘤細胞與正常細胞的不同特性之比較，下列何者正確？①細胞缺乏接觸抑制           ②細胞可快速增殖    ③細胞未分化狀態    ④當需要更多細胞時會發生增殖   ⑤黏著性低而活動力高",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","①③⑤","②④⑤","C",null,[],"本題考點是惡性腫瘤細胞的生物學特性。依細胞生長調控的概念,①癌細胞失去接觸抑制,即使彼此擠壓仍持續增生並堆疊侵犯;③細胞分化程度低,愈未分化則愈失去原組織功能與外形,惡性度也愈高;⑤細胞表面黏著分子減少,彼此黏著力低而活動力高,是脫離原發部位轉移的基礎,三者皆為惡性特徵,選 C。④敘述反而是正常細胞的特性:正常細胞依身體需求受調控地增殖,癌細胞則不受需求約束而持續分裂。②「可快速增殖」不具區辨力,骨髓與腸道黏膜等正常細胞增殖速度也很快,無法據此區分良惡性。","良惡性對照表可這樣記:良性=分化好、生長慢、有包膜、界線清楚、不侵犯不轉移;惡性=分化差、生長不受控、無包膜、界線不清、侵犯周邊並經血流與淋巴轉移。惡性細胞的核特徵包括核大、核質比升高、核仁明顯與異常分裂相,是細胞學判讀的依據。接觸抑制與細胞凋亡失效、端粒酶活化以及誘發血管新生,共同構成腫瘤持續擴張的條件;黏著性下降則對應到上皮間質轉化與轉移能力。延伸複習:腫瘤分級(細胞分化程度)與分期(擴散範圍)的差別、TNM 分期系統。",[24,26,28,30],{"term":25,"count":10},"接觸抑制喪失",{"term":27,"count":10},"細胞分化程度",{"term":29,"count":10},"黏著性與轉移能力",{"term":31,"count":10},"良惡性腫瘤比較",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-022","王老太太背部骨骼疼痛就醫，醫生懷疑是多發性骨髓瘤，請依序回答下列3題。下列何者為確定診斷的主要標準？",22,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-018","有關退化性關節炎臨床表徵之敘述，下列何者錯誤？",18,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-032","下列何種檢查沒有輻射危害？",32,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-070","有關使用抗甲狀腺硫醯胺類（thionamides）藥物之敘述，下列何者正確？",70,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-034","有關癌症手術治療特性之敘述，下列何者正確？",34,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-068","有關愛迪生氏危機（Addisonian crisis）之特徵，下列何者正確？",68,110,"2026-08-06",1787299088751]