[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-040":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":11},"nurse-107-1-基礎醫學-040","nurse-107-1-basic-medicine-040",107,1,40,"下列何種傳染病最有可能侵犯主動脈之血管滋養管（vasa vasorum）導致動脈瘤之產生？",{"A":15,"B":16,"C":17,"D":18},"梅毒","結核","痲瘋","白喉","A",null,[],"本題考點是侵犯主動脈滋養管（vasa vasorum）而致動脈瘤的傳染病。依感染病理，第三期梅毒的梅毒性主動脈炎會侵犯主動脈壁的滋養管、引起閉塞性動脈內膜炎，使中層缺血壞死、彈性纖維破壞，導致升主動脈與主動脈弓的動脈瘤，故選 A 梅毒。結核（B）、痲瘋（C）、白喉（D）雖各有其病理，但不以侵犯主動脈滋養管形成胸主動脈瘤為特徵。判斷關鍵在於將「vasa vasorum 閉塞性動脈內膜炎→胸主動脈瘤」對應到梅毒。","梅毒性主動脈炎屬第三期（tertiary）梅毒，機轉為滋養管周圍漿細胞浸潤造成閉塞性動脈內膜炎（endarteritis obliterans），中層缺血、彈性纖維與平滑肌壞死，血管壁呈「樹皮狀（tree-bark）」皺縮，好發升主動脈，可併主動脈瓣閉鎖不全與冠狀動脈口狹窄。對照粥狀動脈硬化多犯腹主動脈。記法：「梅毒愛升主動脈、滋養管內膜炎、樹皮狀外觀」，為感染性血管病變的經典考點。",[25,27,29,31,33],{"term":26,"count":11},"梅毒性主動脈炎",{"term":28,"count":11},"血管滋養管(vasa vasorum)",{"term":30,"count":11},"閉塞性動脈內膜炎",{"term":32,"count":11},"第三期梅毒",{"term":34,"count":11},"胸主動脈瘤",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-1-basic-medicine-041","下列何者最容易出現在全胃切除（total gastrectomy）後發生貧血之患者？",41,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-107-2-basic-medicine-057","下列抗血小板凝集藥物中，何者之作用機制為抑制磷酸雙酯酶（phosphodiesterase）？",57,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-108-1-basic-medicine-071","HIV 的感染主要藉由其表面之 gp120 與下列那一分子作用結合而感染宿主細胞？",71,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-basic-medicine-029","高鉀食物會造成下列那一段腎小管增加鉀的分泌？",29,109,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-110-2-basic-medicine-073","關於土倫法蘭西斯桿菌（Francisella tularensi）的敘述，下列何者正確？",73,110,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-112-2-basic-medicine-007","子宮的那一部分直接與陰道（vagina）相接，可以藉由陰道擴張器（vaginal dilator）直接觀察檢測？",7,112,"2026-09-04",1788510701211]