[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-106-1-基礎醫學-034","nurse-106-1-basic-medicine-034",106,1,34,"一位 13 歲男孩因腎病症候群（nephrotic syndrome）住院，他被發現有明顯下肢水腫，腎臟科醫師開立蛋白質輸液以減輕病人的水腫。含下列何種蛋白質的輸液最能改善此病人的症狀？",{"A":15,"B":16,"C":17,"D":18},"免疫球蛋白（immunoglobulin）","白蛋白（albumin）","攜鐵蛋白（transferrin）","肌球蛋白（myoglobulin）","B",null,[],"本題考點為血漿蛋白的膠體滲透壓功能與水腫機轉。依 Starling 力學,腎病症候群大量流失白蛋白使血漿膠體滲透壓下降,液體滯留於組織間隙形成水腫;白蛋白(albumin)是維持血漿膠體滲透壓最主要的蛋白,補充後可把水分拉回血管內以改善水腫,故正解為 B。免疫球蛋白主司體液免疫、分子量大且非維持滲透壓主角,A 錯。攜鐵蛋白負責運送鐵離子,C 錯。肌球蛋白為肌肉收縮蛋白,與血漿滲透壓無關,D 錯。","白蛋白約占血漿蛋白六至七成,是膠體滲透壓的主要貢獻者。腎病症候群四聯徵:大量蛋白尿、低白蛋白血症、水腫、高血脂。理解「壓力差」而非硬背選項:滲透壓由血中蛋白濃度決定,補回濃度就能逆轉水分外滲方向。",[25,28,31,33],{"term":26,"count":27},"膠體滲透壓",8,{"term":29,"count":30},"腎病症候群",4,{"term":32,"count":11},"白蛋白 albumin",{"term":34,"count":11},"Starling 力學",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-1-basic-medicine-035","人類免疫不全病毒（Human Immunodeficiency Virus）主要是藉由結合淋巴球細胞表面何種目標物進入淋巴球細胞？",35,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-106-2-basic-medicine-051","吸入性全身麻醉劑的 MAC（minimal alveolar concentration）數值越小，其所代表的意義為何？",51,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-107-1-basic-medicine-065","在醫院群聚型院內細菌感染傳播中，下列那一種疏失是最常見的原因？",65,107,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-108-2-basic-medicine-023","下列何種激素由腺體分泌後，可被轉變為更具活性的形式？",23,108,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-109-2-basic-medicine-067","臨床上以免疫學方法快速診斷隱球菌（Cryptococcus neoformans）引起之感染，通常是直接偵測下列何者？",67,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-111-1-basic-medicine-021","下列何者可協助維生素 D（vitamin D）轉換為骨化三醇（calcitriol）？",21,111,"2026-09-04",1788510691139]