[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-106-2-基礎醫學-043","nurse-106-2-basic-medicine-043",106,2,43,"有關克隆氏疾病（Crohn disease）的臨床病理特徵，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"易出現乾酪性肉芽腫（caseating granuloma）","發生大腸癌的機會比潰瘍性大腸炎（ulcerative colitis）大","與潰瘍性大腸炎不同的是，不會有腸道以外的免疫疾病發生","比潰瘍性大腸炎易發生腸道狹窄的後遺症","D",null,[],"本題考點是克隆氏病與潰瘍性大腸炎的鑑別。依克隆氏病病理,其為穿壁性(transmural)發炎,易造成腸壁增厚與腸道狹窄後遺症,較潰瘍性大腸炎顯著,故 D 正確。A 錯誤:克隆氏病為「非」乾酪性肉芽腫,乾酪性肉芽腫見於結核;B 錯誤:大腸癌風險以潰瘍性大腸炎較高;C 錯誤:兩者皆可合併腸道外免疫表現(如關節炎、虹彩炎),故 A、B、C 皆錯,唯 D 正確。","克隆氏病 vs 潰瘍性大腸炎:克隆氏「跳躍性、穿壁性、非乾酪性肉芽腫、鵝卵石外觀、好發迴腸末端、易瘻管與狹窄」;潰瘍性大腸炎「連續性、僅黏膜層、由直腸向近端、鉛管腸、大腸癌風險較高、隱窩膿瘍」。兩者皆可有腸外表現。乾酪性肉芽腫屬結核而非克隆氏病,是常見陷阱。",[25,28,30,33],{"term":26,"count":27},"非乾酪性肉芽腫",3,{"term":29,"count":11},"克隆氏病",{"term":31,"count":32},"穿壁性發炎與腸道狹窄",1,{"term":34,"count":32},"潰瘍性大腸炎對比",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-basic-medicine-044","卵巢甲狀腺腫（struma ovarii）是屬於一種：",44,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-basic-medicine-060","下列藥物何者不適用於鼻炎（rhinitis）的治療用藥？",60,107,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-107-2-basic-medicine-074","下列何種細菌感染症較少經由節肢動物（arthropod）傳播？",74,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-1-basic-medicine-032","葛瑞夫氏症（Graves’ disease）的患者，血漿中何種物質濃度會下降？",32,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-basic-medicine-076","關於各型大腸桿菌（Escherichia coli）的敘述，下列何者正確？",76,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-030","Creutzfeldt-Jakob 病會造成大腦皮質及深部灰質的海綿狀變形（spongiform transformation），這種病的病因主要與下列何者有關？",30,111,"2026-09-04",1788510696531]