[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-044","nurse-107-1-basic-medicine-044",107,1,44,"下列何者是引起肝門脈高壓（portal hypertension）最主要的肝內原因（intrahepatic cause）？",{"A":15,"B":16,"C":17,"D":18},"脂肪肝（fatty liver）","肝硬化（cirrhosis）","血吸蟲病（schistosomiasis）","肝結核（tuberculosis）","B",null,[],"本題考點是肝門脈高壓的肝內(intrahepatic)主因。肝硬化(cirrhosis)因肝細胞壞死後再生結節與纖維化重塑肝血竇結構,增加門脈血流阻力,是台灣與全球最常見的肝內型門脈高壓原因,故選 B。A 脂肪肝多為可逆的脂肪堆積,單純脂肪肝一般不造成顯著門脈高壓;C 血吸蟲病雖會造成門脈周圍纖維化門脈高壓,但在台灣少見且屬竇前型,非本題所指最主要肝內原因;D 肝結核罕見,不是典型門脈高壓病因。","門脈高壓依阻力位置分竇前(如門靜脈栓塞、血吸蟲)、竇性(肝硬化)、竇後(如 Budd-Chiari、右心衰竭)。肝硬化屬竇性,病生理是纖維化+再生結節壓迫肝血竇並增加肝內血管阻力,加上內臟血管擴張與血流增加共同推升門脈壓。臨床後果連鎖:食道靜脈曲張、腹水、脾腫大與脾功能亢進、肝性腦病。記憶:台灣門脈高壓=先想肝硬化(B、C 肝炎後)。",[25,28,30,32],{"term":26,"count":27},"肝硬化",4,{"term":29,"count":27},"門脈高壓",{"term":31,"count":11},"竇性阻力",{"term":33,"count":11},"再生結節與纖維化",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-basic-medicine-045","下列何種睪丸腫瘤中，最可能造成人類絨毛膜性腺激素（human chorionic gonadotropin, hCG）之升高？",45,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-107-2-basic-medicine-061","關於催產激素 oxytocin 的敘述，下列何者錯誤？",61,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-basic-medicine-075","下列何者與 CD8 T 細胞的作用較無關？",75,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-basic-medicine-033","乳癌的病人，手術切除乳房後常引起同側手臂水腫，下列何者為最主要的致病機轉？",33,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-basic-medicine-077","肝炎病毒感染後，下列何者只會造成急性肝炎，並不會導致長期慢性感染的發生？",77,110,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-basic-medicine-011","下列何者不是長時間的肌肉活動後，肌纖維中常見的代謝物質？",11,112,"2026-09-04",1788510701261]