[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-042":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-107-1-基礎醫學-042","nurse-107-1-basic-medicine-042",107,1,42,"Reed-Sternberg 細胞是一種特殊的腫瘤細胞，此種細胞出現在下列那種腫瘤？",{"A":15,"B":16,"C":17,"D":18},"Wilms 氏瘤（Wilms tumor）","何杰金氏瘤（Hodgkin’s lymphoma）","多發性骨髓瘤（multiple myeloma）","慢性骨髓性白血病（chronic myelogenous leukemia）","B",null,[],"本題考點是 Reed-Sternberg 細胞的診斷專一性。Reed-Sternberg 細胞是體積大、雙核或多核、呈「鏡影(owl-eye)」外觀的腫瘤細胞,為何杰金氏淋巴瘤(Hodgkin's lymphoma)的病理診斷標記,故選 B。A Wilms 氏瘤是兒童腎臟的胚細胞瘤,病理見芽基、間質與上皮三相分化;C 多發性骨髓瘤為漿細胞惡性增生,骨髓見大量不正常漿細胞與 M 蛋白;D 慢性骨髓性白血病以 Philadelphia 染色體(BCR-ABL)與各期骨髓球增生為特徵,均不見 Reed-Sternberg 細胞。","Reed-Sternberg 細胞源自生發中心 B 細胞,免疫表現 CD15+、CD30+;在腫瘤組織中其實只佔少數,周圍大量的是反應性淋巴球與發炎細胞。記憶口訣:『貓頭鷹眼(owl-eye)=何杰金』。何杰金淋巴瘤依 Ann Arbor 分期,擴散多沿相鄰淋巴結連續進行,預後相對非何杰金氏淋巴瘤佳。對比:非何杰金氏淋巴瘤無 Reed-Sternberg 細胞、擴散較跳躍。",[25,28,30,32],{"term":26,"count":27},"Reed-Sternberg 細胞",3,{"term":29,"count":27},"何杰金氏淋巴瘤",{"term":31,"count":27},"CD15\u002FCD30",{"term":33,"count":34},"貓頭鷹眼外觀",2,[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-1-basic-medicine-043","一個剛出生的嬰兒，口中有大量口水流出且無法餵食，是因下列何者先天性異常？",43,{"webId":41,"stem":42,"number":43,"year":10,"session":34},"nurse-107-2-basic-medicine-059","下列何種藥物可作為制酸劑（antacids），但容易造成腹瀉的副作用？",59,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-basic-medicine-073","關於類鐸受體（Toll-like receptor, TLR）的敘述，下列何者正確？",73,108,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-109-2-basic-medicine-031","下列何者為刺激胃泌素（gastrin）分泌之直接且重要的因子？",31,109,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-110-2-basic-medicine-075","關於萊姆病（Lyme disease）及其病原體的敘述，下列何者錯誤？",75,110,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-112-2-basic-medicine-009","下列何者將消化道吸收之富含養分血液帶入肝臟？",9,112,"2026-09-04",1788510701233]