[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-042":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":11},"nurse-106-2-基礎醫學-042","nurse-106-2-basic-medicine-042",106,2,42,"何謂波雷特氏食道（Barrett esophagus）？",{"A":15,"B":16,"C":17,"D":18},"遠端食道潰瘍（ulcer）","遠端食道狹窄（stricture）","遠端食道鱗狀上皮發生腸化生（intestinal metaplasia）","遠端食道鱗狀上皮過度增生（hyperplasia）","C",null,[],"本題考點是波雷特氏食道(Barrett esophagus)的組織學定義。依化生(metaplasia)概念,長期胃食道逆流使遠端食道原本的鱗狀上皮被具杯狀細胞的腸型柱狀上皮取代,即腸化生(intestinal metaplasia),故選 C。A 潰瘍與 B 狹窄為逆流可能併發的併發症,非其定義;D「鱗狀上皮過度增生」屬增生(hyperplasia)而非上皮型別的轉換,與化生本質不同,故均非正解。","波雷特氏食道是慢性胃食道逆流(GERD)引起的化生:鱗狀上皮→含杯狀細胞的腸型柱狀上皮,內視鏡下見鮭魚色黏膜上移。臨床意義:屬癌前病變,可循「化生→異型增生→食道腺癌」序列進展,故需定期追蹤。區辨化生(細胞型別改變)與增生(細胞數目增多)是病理常考點。",[25,27,29,32],{"term":26,"count":11},"波雷特氏食道",{"term":28,"count":11},"胃食道逆流",{"term":30,"count":31},"腸化生",1,{"term":33,"count":31},"癌前病變",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-043","有關克隆氏疾病（Crohn disease）的臨床病理特徵，下列敘述何者正確？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-107-1-basic-medicine-059","下列有關 Mannitol 之敘述，何者錯誤？",59,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-basic-medicine-073","下列何種細菌較容易引起抗生素相關腹瀉（antibiotic-associated diarrhea）？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-109-1-basic-medicine-031","下列何者是人體細胞外液最重要的緩衝系統？",31,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-basic-medicine-075","關於組織相容性複合體（MHC）的敘述，下列何者正確？",75,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-basic-medicine-029","關於卵巢腫瘤的敘述，下列何者錯誤？",29,111,"2026-09-04",1788510696528]