[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-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-107-2-基礎醫學-045","nurse-107-2-basic-medicine-045",107,2,45,"有關 Wilms’腫瘤（Wilms’ Tumor）之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"又名腎母細胞瘤（nephroblastoma）","是兒童最常見的原發腎臟腫瘤","有一些先天性畸形，例如 WAGR 症候群為 Wilms’腫瘤的危險因子","病理變化常會出現 Homer-Wright 偽花瓣型無中央管腔構造（pseudorosette）","D",null,[],"本題考點是 Wilms 腫瘤的特徵辨識。依兒童腫瘤病理,Wilms 腫瘤又名腎母細胞瘤（A 正確)、是兒童最常見的原發性腎臟惡性腫瘤（B 正確)、WAGR 症候群等先天畸形為其危險因子（C 正確);而 Homer-Wright 偽花瓣（pseudorosette）是「神經母細胞瘤」等神經內分泌／小圓細胞腫瘤的特徵,並非 Wilms 腫瘤,故 D 敘述錯誤,為答案。Wilms 腫瘤的典型病理是含胚芽、上皮與間質三種成分的三相性（triphasic）組織,而非偽花瓣結構。","鑑別重點:兩種兒童腹部腫塊常被並列——Wilms 腫瘤（腎母細胞瘤,源自腎臟,三相性組織:胚芽 blastema＋上皮＋間質,與 WT1 基因、WAGR／Beckwith-Wiedemann 症候群相關)vs 神經母細胞瘤（源自腎上腺髓質或交感神經節,病理見 Homer-Wright 偽花瓣,分泌兒茶酚胺,N-myc 放大與預後相關)。WAGR＝Wilms＋無虹膜（Aniridia)＋泌尿生殖異常（GU)＋智能障礙（Retardation)。記憶:「偽花瓣＝神經母細胞瘤」是本題陷阱,Wilms 不具此構造。可連結:WT1、兒童腹部腫塊鑑別、兒茶酚胺。",[25,28,30,32],{"term":26,"count":27},"Wilms 腫瘤 腎母細胞瘤",1,{"term":29,"count":27},"Homer-Wright 偽花瓣屬神經母細胞瘤",{"term":31,"count":27},"WAGR 症候群",{"term":33,"count":27},"三相性組織",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-046","14 歲女性，無性經驗，因為最近幾個月出現不正常子宮出血而就醫。她初經是在 12 歲。下列何者是造成其不正常出血最可能的原因？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-108-1-basic-medicine-062","下列何種藥物，是藉由活化氯離子通道而增加腸道液體的釋放，用於治療慢性便祕？",62,108,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-108-2-basic-medicine-076","關於梭狀芽孢桿菌（Clostridium ）的敘述，下列何者錯誤？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-1-basic-medicine-034","下列何種感染最容易發生在燒燙傷的病人？",34,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-1-basic-medicine-078","下列何種病毒會造成潛伏感染（latent infection），病毒會潛伏在神經節的神經細胞中？",78,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-basic-medicine-042","從胸腺發育而來，未曾受抗原刺激的 T 細胞，主要由下列何種細胞啟動第一步的活化？",42,112,3,"2026-09-04",1788510723700]