[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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":11},"nurse-106-1-基礎醫學-048","nurse-106-1-basic-medicine-048",106,1,48,"一位 18 歲男性病人右膝疼痛，影像醫學檢查發現右側股骨骺端有一個界線不清楚的溶骨性病灶，且在骨膜上有柯德曼三角形（Codman triangle）的特徵。切片下顯示有許多過染性（hyperchromatic），非典型的紡錘狀（spindle）細胞增生，偶爾可見有類骨質（osteoid）的基質和有絲分裂。它最有可能是何種腫瘤？",{"A":15,"B":16,"C":17,"D":18},"軟骨瘤（chondroma）","骨肉瘤（osteosarcoma）","多發性骨髓瘤（multiple myeloma）","尤汶氏肉瘤（Ewing sarcoma）","B",null,[],"本題考點為骨腫瘤的影像與病理鑑別。依骨科病理,年輕人股骨骺端界線不清的溶骨性病灶、骨膜上柯德曼三角形(Codman triangle),加上切片見異型紡錘狀細胞產生類骨質(osteoid),最符合骨肉瘤(osteosarcoma),故正解為 B。軟骨瘤為良性、產生軟骨基質而非類骨質,A 錯。多發性骨髓瘤好發於年長者、呈穿鑿狀溶骨且為漿細胞增生,C 錯。尤汶氏肉瘤為小圓藍細胞、常見洋蔥皮狀骨膜反應且不產生類骨質,D 錯。","決定性線索:腫瘤細胞會製造「類骨質(osteoid)」即指向骨肉瘤,這是與其他骨腫瘤的分水嶺。影像 Codman 三角與日光放射狀(sunburst)是骨膜被掀起的表現;好發青少年膝周(遠端股骨、近端脛骨)。尤汶氏則帶 t(11;22) 融合基因。",[25,27,29,31],{"term":26,"count":11},"骨肉瘤 osteosarcoma",{"term":28,"count":11},"類骨質 osteoid",{"term":30,"count":11},"柯德曼三角",{"term":32,"count":11},"股骨骺端好發",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-basic-medicine-049","藥物的生體可用率（bioavailability）不受下列何種因素影響？",49,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-106-2-basic-medicine-065","主要辨識革蘭氏陰性菌的脂多糖（lipopolysaccharide）的細胞受體是那一種？",65,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-basic-medicine-079","下列何者為目前實驗室中用於確定 HIV 感染之試驗？",79,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-basic-medicine-037","下列何種致病原導致的肺炎在常規組織切片之顯微特徵為肺泡內充滿泡沬狀嗜酸性物質？",37,108,{"webId":54,"stem":55,"number":11,"year":56,"session":11},"nurse-110-1-basic-medicine-001","在青春期，下列何者對長骨的「縱向生長」最為重要？",110,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-111-1-basic-medicine-035","帶狀疱疹病毒（Varicella-Zoster virus）在初次感染人體後，會潛伏在人體何種細胞中？",35,111,"2026-09-04",1788510691328]