[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-034":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":11},"nurse-107-2-基礎醫學-034","nurse-107-2-basic-medicine-034",107,2,34,"下列何者最不容易造成全身性血栓性栓塞（systemic thromboembolism）之栓子（embolus）？",{"A":15,"B":16,"C":17,"D":18},"左心室壁的血栓（mural thrombus）","肺動脈瓣的鈣化變性","變大的左心房內的血塊","二尖瓣的感染性心內膜炎（infective endocarditis）","B",null,[],"本題考點是全身性血栓栓塞的栓子來源。依血栓栓塞病生理,全身性（動脈系統）栓子多來自左心系統或體循環動脈的血栓——左心室壁血栓、擴大左心房內血塊、左側瓣膜的感染性心內膜炎贅生物,皆可脫落隨動脈血流栓塞至腦、腎、四肢,故 A、C、D 都是常見來源。B 肺動脈瓣鈣化位於右心到肺循環的路徑,即使產生栓子也只會流向肺循環造成肺栓塞,難以進入體循環動脈系統,故「最不容易」造成全身性栓塞,選 B。","解剖血流是關鍵:全身性（動脈）栓子必須源自「左心或其下游動脈」——左心室（心肌梗塞後壁血栓）、左心房（心房顫動、二尖瓣狹窄致血流鬱滯）、左側瓣膜贅生物或主動脈粥狀斑塊。右心與肺動脈側的栓子只會走向肺,屬「肺栓塞」路徑,除非有心房中隔缺損造成的弔詭性栓塞（paradoxical embolism）才可能跨到體循環。對比記憶:左心來源→體循環栓塞;下肢深部靜脈與右心來源→肺栓塞。可連結:心房顫動抗凝、Virchow 三要素。",[25,27,30,32],{"term":26,"count":11},"全身性血栓栓塞",{"term":28,"count":29},"左心來源栓子",1,{"term":31,"count":29},"肺動脈瓣屬右心循環",{"term":33,"count":29},"弔詭性栓塞",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-035","關於糖尿病之敘述，下列何者錯誤？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-basic-medicine-051","下列何者為治療毛地黃中毒時，引發心室纖維顫動的首選藥物？",51,108,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-108-2-basic-medicine-065","培養無致病性的肺炎雙球菌時，添加已死亡之致病性肺炎雙球菌的何種物質，會使其成為有致病性的細菌？",65,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-basic-medicine-023","死亡後開始出現肌肉僵硬的現象，主要是由下列那一個原因造成？",23,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-basic-medicine-067","下列對於滅菌作用機制的描述，何者正確？",67,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-basic-medicine-031","下列何種藥物不適合用來治療青光眼？",31,112,3,"2026-09-04",1788510723578]