[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-045":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-045","nurse-107-1-basic-medicine-045",107,1,45,"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？",{"A":15,"B":16,"C":17,"D":18},"卵黃囊腫瘤（yolk sac tumor）","畸胎瘤（teratoma）","胚胎上皮癌（embryonal carcinoma）","絨毛上皮癌（choriocarcinoma）","D",null,[],"本題考點是睪丸生殖細胞瘤與腫瘤標記的對應。絨毛上皮癌(choriocarcinoma)由合體滋養層與細胞滋養層構成,合體滋養層本就分泌人類絨毛膜性腺激素(hCG),因此造成血清 hCG 顯著升高,故選 D。A 卵黃囊腫瘤特徵性升高的是甲型胎兒蛋白(AFP)而非 hCG;B 畸胎瘤多由三胚層成熟組織構成,一般不分泌 hCG;C 胚胎上皮癌雖可能輕度升高 AFP 或 hCG,但升高 hCG 的專一性與幅度遠不及絨毛上皮癌。","睪丸生殖細胞瘤標記對照:AFP 升高→卵黃囊腫瘤;hCG 升高→絨毛上皮癌;兩者皆可升高→混合型或胚胎上皮癌;純精原細胞瘤(seminoma)AFP 不升、少數 hCG 輕升。合體滋養層是胎盤分泌 hCG 的來源,腫瘤化後即大量分泌。記憶:hCG=『滋養層\u002F懷孕』標記,絨毛上皮癌等同惡性化的滋養層,故 hCG 最高;此腫瘤易早期血行轉移至肺。",[25,28,30,32],{"term":26,"count":27},"hCG",3,{"term":29,"count":11},"絨毛上皮癌",{"term":31,"count":11},"合體滋養層",{"term":33,"count":11},"AFP 與睪丸腫瘤標記",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-basic-medicine-046","子宮外孕最常見的位置是下列何者？",46,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-107-2-basic-medicine-062","有關藥物併用的敘述，下列何者錯誤？",62,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-basic-medicine-076","關於白喉桿菌（Corynebacterium diphtheriae ）的敘述，下列何者正確？",76,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-basic-medicine-034","斯耶格雷症候群（Sjogren syndrome）的病理學變化，下列何者在唾液腺有大量浸潤？",34,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-basic-medicine-078","下列何類型藥物，無法用於抑制人類免疫缺乏病毒（HIV）？",78,110,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-basic-medicine-012","重症肌無力（Myasthenia Gravis）與下列何者之異常最相關？",12,112,"2026-09-04",1788510701268]