[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-108-1-基礎醫學-044","nurse-108-1-basic-medicine-044",108,1,44,"好發於大腦底部威利氏環（circle of Willis）或分枝處的動脈瘤是那一種形態？",{"A":15,"B":16,"C":17,"D":18},"囊狀動脈瘤（saccular aneurysm）","漿果型動脈瘤（berry aneurysm）","蜿蜒狀動脈瘤（cirsoid aneurysm）","分割性動脈瘤（dissecting aneurysm）","B",null,[],"本題考點為腦動脈瘤的形態分類。依病理，好發於腦底威利氏環分枝處的動脈瘤為漿果型（berry aneurysm），因血管分叉處中層肌肉先天薄弱，在血流衝擊下鼓出如漿果，破裂即造成蜘蛛膜下腔出血，故選 B。蜿蜒狀（cirsoid，C）多為動靜脈畸形所致的迂曲血管團；分割性動脈瘤（dissecting，D）為血液滲入血管壁層間，常見於主動脈。須注意漿果型與囊狀（saccular，A）在病理上實為同義，本題依考選部標準答案取 B，宜以『威利氏環＋漿果型』作配對記憶。","berry（漿果）動脈瘤與 saccular（囊狀）動脈瘤在病理學上互為同義，皆指分叉處局部囊狀鼓出；此題兩選項並列易生爭議，官方取『berry』。破裂典型症狀為突發劇烈『雷擊頭痛』與頸部僵硬，是非外傷性蜘蛛膜下腔出血最常見原因，並與多囊腎、結締組織疾病相關。",[25,28,30,32,34],{"term":26,"count":27},"威利氏環",2,{"term":29,"count":11},"漿果型動脈瘤",{"term":31,"count":11},"囊狀動脈瘤",{"term":33,"count":11},"蜘蛛膜下腔出血",{"term":35,"count":11},"動脈分叉處",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-045","下列關於急性淋巴母細胞性白血病（Acute lymphoblastic leukemia\u002Flymphoma）的臨床與預後的敘述，何者錯誤？",45,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-108-2-basic-medicine-061","下列何種藥物可使鼻黏膜上小動脈收縮，作為鼻充血腫脹解除劑，用於治療鼻炎？",61,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-075","下列病毒的散播，何者不經病媒蚊媒介？",75,109,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-033","血清素（serotonin）是屬於那一類之炎症化學介質？",33,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-027","有過敏性鼻炎病史的病人，因為反覆鼻炎造成鼻黏膜「灰白色葡萄狀」增生，此病灶是什麼？",27,112,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-113-2-basic-medicine-021","下列何者與營養不良性鈣化（dystrophic calcification）最不相關？",21,113,"2026-09-04",1788510708469]