[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-005":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-115-2-基礎醫學-005","nurse-115-2-basic-medicine-005",115,2,5,"胸骨左側第 2 肋間最靠近下列心臟的那個瓣膜？",{"A":15,"B":16,"C":17,"D":18},"二尖瓣","主動脈瓣","肺動脈瓣","三尖瓣","C",null,[],"本題考點是心臟四個瓣膜的體表聽診定位。胸骨左緣第 2 肋間是肺動脈瓣聽診區,因肺動脈自右心室向左上方走,瓣膜血流聲在此處傳導最清楚,故選 C。A 二尖瓣聽診區在左側第 5 肋間鎖骨中線的心尖部。B 主動脈瓣聽診區在胸骨右緣第 2 肋間,與本題方位左右相反。D 三尖瓣聽診區在胸骨左緣第 4 至 5 肋間、靠近胸骨下端處。四個位置依血流投影而非瓣膜實際解剖位置決定,題目問左側第 2 肋間即對應肺動脈瓣。","聽診點不等於瓣膜的解剖位置,而是該瓣膜產生的聲音經血流方向傳導到胸壁最響的地方,這是理解此考點的關鍵。常用記憶口訣為 APTM:Aortic(右二)→ Pulmonic(左二)→ Tricuspid(左四五近胸骨)→ Mitral(左五鎖骨中線),由上而下、右先左後。臨床設計上第二肋間好找,因為胸骨角(Louis 角)正對第 2 肋骨,可作為體表定位起點。延伸可連結第二心音分裂在肺動脈瓣區最明顯、以及心尖搏動位置與心臟擴大的關係。",[25,28,30,32],{"term":26,"count":27},"肺動脈瓣聽診區",1,{"term":29,"count":27},"胸骨角定位",{"term":31,"count":27},"心臟瓣膜聽診五點",{"term":33,"count":27},"心音傳導方向",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-basic-medicine-006","下列那一種女性的外生殖器官，發育來源與男性的陰莖（penis）相同，都是由海綿體構成，且含有許多神經末梢？",6,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-106-1-basic-medicine-052","局部麻醉劑使用在發炎組織時其藥效降低，最主要的原因為何？",52,106,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-106-2-basic-medicine-066","下列分子可與 B7-1\u002FB7-2（CD80\u002FCD86）結合後，抑制 T 細胞活化的為：",66,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-108-1-basic-medicine-024","腎上腺素（epinephrine）會直接造成下列何種反應？",24,108,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-109-1-basic-medicine-068","下列針對 Bacillus cereus 造成的疾病，何者正確？",68,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-110-2-basic-medicine-022","下列何種細胞受損對血腦障壁（blood-brain barrier）的功能影響最大？",22,110,"2026-08-06",1787299017382]