[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-基礎醫學-002","nurse-115-2-basic-medicine-002",115,2,"有關真皮（dermis）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"由上皮組織組成","含豐富的微血管","分成基底層與乳頭層","燒燙傷損及真皮者屬於一級灼傷","B",null,[],"本題考點是表皮與真皮在組織來源與構造分層上的差異。真皮由緻密結締組織構成，內含血管、淋巴管、感覺受器、毛囊、皮脂腺與汗腺等構造；表皮本身無血管，養分需靠真皮的微血管網以擴散方式供應，故「含豐富的微血管」正確，選 B。A 錯在組織來源，由上皮組織構成的是表皮，真皮屬結締組織。C 錯在分層名稱，真皮分為乳頭層與網狀層，基底層（生長層）是表皮最深的一層而非真皮的一部分。D 錯在灼傷分度，只傷及表皮者為一級，傷及真皮的部分厚度灼傷屬二級，破壞達全層與皮下組織才是三級。","灼傷分度的痛感判別常被記反，機轉要講清楚：二級（部分厚度）灼傷會起水泡而且劇痛，是因為真皮的游離神經末梢被暴露出來、持續受刺激但仍然存活，同時微血管通透性增加使血漿滲出堆積在表皮與真皮之間形成水泡；三級（全層）灼傷之所以反而不痛，是神經末梢已被完全破壞，創面呈蠟白、皮革狀或焦黑且乾燥、無水泡。所以「會不會痛」的依據是神經末梢還在不在，不是感覺受器被破壞才會痛。真皮兩層也可對照記憶：乳頭層與表皮交界呈指狀突起以增加附著與交換面積，內含觸覺的邁斯納氏體與微血管環；網狀層以粗大膠原纖維與彈性纖維為主，是妊娠紋與老化皺紋形成的所在，也是植皮取皮厚度判斷的層次依據。",[24,27,29,31],{"term":25,"count":26},"真皮結締組織構造",1,{"term":28,"count":26},"真皮乳頭層與網狀層",{"term":30,"count":26},"表皮無血管與擴散供養",{"term":32,"count":26},"灼傷深度分級",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-2-basic-medicine-003","下列髖骨區域，何者最粗壯且足以承接坐姿時之體重？",3,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-basic-medicine-049","藥物的生體可用率（bioavailability）不受下列何種因素影響？",49,106,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-106-2-basic-medicine-063","下列何者是抗生素 quinolones 藥物的作用機轉？",63,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-basic-medicine-021","當每分鐘腎臟之葡萄糖過濾量大於葡萄糖之最大運輸速率（transport maximum）時，下列何者最可能發生？",21,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-basic-medicine-065","下列對弧菌（Vibrio）的敘述，何者為正確？",65,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-basic-medicine-019","有關促進睪固酮分泌之敘述，下列何者正確？",19,110,"2026-08-06",1787299017352]