[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-008","nurse-115-2-basic-medicine-008",115,2,8,"下列那個唾液腺的腫瘤，最可能壓迫到顏面神經（facial nerve）？",{"A":15,"B":16,"C":17,"D":18},"舌下腺（sublingual gland）","下頜下腺（submandibular gland）","耳下腺（parotid gland）","頰腺（buccal gland）","C",null,[],"本題考點是唾液腺與顏面神經的解剖鄰接關係。顏面神經(第七對腦神經)出顏面神經管後穿行於耳下腺實質之中,把腺體分為淺葉與深葉,因此耳下腺腫瘤生長或手術操作最容易壓迫、牽扯此神經,出現同側顏面表情肌無力,故選 C。A 舌下腺位於口腔底黏膜下,鄰近的是舌神經與舌下神經。B 下頜下腺位於下頜骨下方,僅與顏面神經的下頜緣分支局部相鄰,並無神經主幹穿過腺體。D 頰腺屬散布於頰黏膜的小唾液腺,體積小且不與顏面神經主幹相鄰。","顏面神經穿過耳下腺是頭頸解剖最常被考的位置關係,原因在於它造成兩個臨床推論:一是耳下腺惡性腫瘤若出現顏面麻痺,代表已侵犯神經、屬預後不良徵象;二是耳下腺切除術的核心技術就是辨識並保留神經分支。顏面神經在腺內分出的五大分支可用「顳、顴、頰、下頜緣、頸」記憶。對比記法:「第七對穿耳下腺、第九對走咽部、第十二對管舌頭」。延伸可連結貝爾氏麻痺與中風造成顏面麻痺的上下臉受累差別。",[25,28,30,33],{"term":26,"count":27},"耳下腺",4,{"term":29,"count":11},"顏面神經",{"term":31,"count":32},"唾液腺解剖位置",1,{"term":34,"count":32},"腦神經分支",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-basic-medicine-009","下列何者分支出滋養胰臟的主要血管？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-basic-medicine-055","下列何者屬於 thromboxane A 2 的藥理作用？",55,106,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-106-2-basic-medicine-069","婦女經期使用的衛生棉條不潔時，會引起毒性休克症候群，是下列何種細菌產生之毒素所引起的？",69,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-108-1-basic-medicine-027","高蛋白質且低碳水化合物的飲食，可以刺激胰島素（insulin）分泌，但不會造成低血糖的最可能原因為何？",27,108,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-basic-medicine-071","Azole 類抗黴菌劑的作用機轉是：",71,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-basic-medicine-025","甲狀腺激素（thyroid hormone）合成的第一個步驟，下列過程何者正確？",25,110,"2026-08-06",1787299017414]