[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-043":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-107-2-基礎醫學-043","nurse-107-2-basic-medicine-043",107,2,43,"關於克隆氏病（Crohn disease）的敘述，下列何者正確？① 多侷限在迴腸（ileum）末端，也會侵犯結腸（colon） ②潰瘍十分表淺 ③潰瘍與潰瘍之間的正常黏膜有如鵝卵石般 ④常出現肉芽腫（granulomas） ⑤腸壁會變薄且嚴重擴大",{"A":15,"B":16,"C":17,"D":18},"①③④","②③⑤","①④⑤","①③⑤","A",null,[],"本題考點是克隆氏病的病理特徵辨識。依發炎性腸道疾病病理,克隆氏病好發於迴腸末端也可侵犯結腸（①對）、可見非乾酪性肉芽腫（④對）、且因跳躍性病灶使潰瘍間夾雜正常隆起黏膜呈鵝卵石外觀（③對),故正確組合為①③④,選 A。②錯,克隆氏病潰瘍是深而穿透全層的裂隙狀潰瘍,並非表淺——表淺潰瘍是潰瘍性結腸炎的特徵。⑤錯,克隆氏病因全層發炎與纖維化使腸壁「增厚變硬、管腔狹窄」,而非變薄擴大;腸壁變薄擴大反屬毒性巨結腸（潰瘍性結腸炎併發症）。","兩病對比表——克隆氏病:全消化道皆可（口腔到肛門)、跳躍性病灶、全層（transmural）發炎、裂隙狀深潰瘍＋鵝卵石外觀、非乾酪性肉芽腫、腸壁增厚狹窄、易併廔管與狹窄。潰瘍性結腸炎:侷限大腸、由直腸連續向上、僅黏膜與黏膜下層、表淺潰瘍與偽息肉、隱窩膿瘍、可併毒性巨結腸與較高結腸癌風險。記憶口訣:克隆氏＝「跳、深、全層、肉芽腫、鵝卵石」;潰結＝「連續、淺、黏膜層、隱窩膿瘍」。可連結:廔管形成、抗 TNF 治療。",[25,28,30,33],{"term":26,"count":27},"非乾酪性肉芽腫",3,{"term":29,"count":11},"克隆氏病",{"term":31,"count":32},"鵝卵石外觀與跳躍病灶",1,{"term":34,"count":32},"全層發炎腸壁增厚",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-basic-medicine-044","下列何種類型的泌尿道結石最常見？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-108-1-basic-medicine-060","Beta 腎上腺素受體拮抗劑用於治療心律不整，主要的藥理機轉為何？",60,108,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-108-2-basic-medicine-074","補體系統（complement system）是對抗細菌感染的重要機制之一。下列何者是感染時最早活化的補體反應？",74,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-110-1-basic-medicine-032","有關脂溶性維生素的敘述，下列何者錯誤？",32,110,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-111-1-basic-medicine-076","下列關於黴漿菌（Mycoplasma）的敘述，何者錯誤？",76,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-112-3-basic-medicine-040","長期使用免疫抑制劑 Cyclosporine 治療自體免疫疾病，可能引發下列何種副作用？",40,112,"2026-09-04",1788510723690]