[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":26},"nurse-115-2-內外科護理學-027","nurse-115-2-medical-surgical-027",115,2,27,"有關皮膚結構之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"角質層為皮膚最外層，頭皮的角質層最厚","皮下組織含有血管、淋巴管及皮脂腺","真皮層含有大量膠原組織，最薄處位在眼瞼","皮下組織含有感覺神經，老化常造成壓力感改變","C",null,[],"本題考點是皮膚三層構造與附屬構造的分布,屬最佳答案題。真皮層以第一型膠原纖維與彈性纖維為主,提供皮膚的機械強度與韌性,全身以眼瞼處的真皮最薄、掌蹠最厚,C 是教科書直接陳述的正確敘述。A 錯在角質層最厚處為手掌與腳掌,頭皮的角質層並不特別厚。B 錯在皮脂腺附著於毛囊、位於真皮層,不屬於皮下組織的內容物。D 所寫「皮下組織含有感覺神經」本身並非錯誤,巴齊尼氏體確實分布於真皮深層與皮下組織;但老化後壓覺改變主要來自機械受器密度下降與神經傳導退化,把成因單獨歸於皮下組織,因果解釋並不完整,相較之下 C 才是最適當的敘述。","皮膚三層由外而內:表皮為角化複層鱗狀上皮,無血管,細胞由基底層往上分化脫落,掌蹠因摩擦大而多一層透明層、角質層最厚;真皮分乳突層與網狀層,以第一型膠原與彈性纖維為主,含血管、淋巴管、感覺受器及毛囊、皮脂腺、汗腺等附屬器,眼瞼處真皮最薄約 0.5 公釐;皮下組織以脂肪與疏鬆結締組織為主,負責緩衝與保溫,較大的血管、淋巴管與神經幹亦在此走行。機械受器對照表:梅克爾氏細胞位於表皮基底層,司持續觸壓與紋理;梅斯納氏小體位於真皮乳突層,司輕觸與低頻振動;魯菲尼氏末梢位於真皮,司皮膚牽張;巴齊尼氏體體積最大,分布於真皮深層與皮下組織,司振動與深壓覺。因此 D 的位置描述站得住腳,問題在它把老化後的壓覺改變單獨歸因於皮下組織——實際上壓覺退化是機械受器密度下降、神經傳導速度減慢與真皮膠原流失共同造成的結果,因果鏈不完整;C 則是無須附加條件即成立的正確句,兩相比較後取 C。延伸可連結壓傷分期與皮下脂肪厚度、以及老化皮膚變薄與皮下脂肪流失的關聯。",[24,27,29,31],{"term":25,"count":26},"皮膚三層構造",1,{"term":28,"count":26},"真皮膠原纖維分布",{"term":30,"count":26},"皮膚機械受器分布",{"term":32,"count":26},"皮脂腺與毛囊附屬器位置",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-028","下列何項檢驗項目與傳染性疾病較無關？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-medical-surgical-074","有關原發性醛固酮過多症之臨床表徵，下列何者正確？",74,106,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-107-1-medical-surgical-008","Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",8,107,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-108-1-medical-surgical-046","有關燒傷病人接受自體移植後出院之護理指導，下列何者錯誤？",46,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-2-medical-surgical-010","有關引起水瀉與血樣黏液糞便等特徵的腸道感染原，下列何者錯誤？",10,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-medical-surgical-044","下列何者不是皮膚過敏試驗？",44,110,"2026-08-06",1787299037171]