[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-037":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-106-1-基礎醫學-037","nurse-106-1-basic-medicine-037",106,1,37,"下列何者最可能導致脂肪肝？",{"A":15,"B":16,"C":17,"D":18},"酗酒","抽菸","吸食大麻","嚼檳榔","A",null,[],"本題考點為脂肪肝(脂肪變性)最常見的致病因子。依肝臟病理,酒精代謝產生過量 NADH 與乙醛,促進脂肪酸合成、抑制其氧化並干擾脂蛋白輸出,使三酸甘油酯堆積於肝細胞,是脂肪肝最典型成因,故正解為 A。抽菸主要與肺部及心血管病變相關,對肝脂肪堆積非主因,B 錯。吸食大麻與脂肪肝無明確直接因果,C 錯。嚼檳榔的主要危害是口腔黏膜下纖維化與口腔癌,而非脂肪肝,D 錯。","酒精性脂肪肝機轉重點:乙醇→乙醛→乙酸,過程 NADH\u002FNAD⁺ 比值上升,把代謝推向脂肪合成。臨床上脂肪肝分酒精性與非酒精性(NAFLD,與肥胖、糖尿病、代謝症候群相關),兩大類常一起比較。脂肪肝早期可逆是重要觀念。",[25,28,30,32],{"term":26,"count":27},"三酸甘油酯堆積",2,{"term":29,"count":11},"脂肪肝(脂肪變性)",{"term":31,"count":11},"酒精代謝",{"term":33,"count":11},"NADH\u002FNAD+ 比值",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-basic-medicine-038","下列何種組織對放射線傷害的耐受性較高？",38,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-106-2-basic-medicine-054","下列用於 sleep disorders 之藥物，何者可明顯縮短入睡時間及減少睡眠中醒來次數，但會造成病人有白天中樞抑制（daytime sedation）之副作用？",54,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-basic-medicine-068","有關抗體的敘述，下列何者錯誤？",68,107,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-108-2-basic-medicine-026","下列何種原因抑制懷孕時乳汁的製造？",26,108,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-109-2-basic-medicine-070","有關抗菌和滅菌處理的敘述，下列何者錯誤？",70,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-basic-medicine-024","下列有關微血管及組織液交換的敘述，何者錯誤？",24,111,"2026-09-04",1788510691159]