[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-045":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-045","nurse-108-1-basic-medicine-045",108,1,45,"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？",{"A":15,"B":16,"C":17,"D":18},"病人可能出現骨髓功能抑制症狀，例如貧血及血小板過低","病人有染色體多倍體（Hyperdiploidy）通常預後較佳","相對於小孩，成人急性淋巴母細胞性白血病的預後較佳","有些病人亦可出現 t(9;22)（染色體 9 及 22 轉位），而表現 BCR-ABL tyrosine kinase","C",null,[],"本題考點為急性淋巴母細胞白血病（ALL）的臨床與預後正誤。依血液腫瘤學，ALL 好發於兒童，且『兒童』預後遠優於成人，故『成人 ALL 預後較佳』的敘述錯誤，選 C。A 正確，骨髓被白血病細胞取代導致貧血、血小板低下與白血球異常；B 正確，染色體高倍體（hyperdiploidy，>50 條）為預後良好指標；D 正確，部分病人帶 t(9;22) 費城染色體表現 BCR-ABL，屬預後不良且可用酪胺酸激酶抑制劑治療。三者敘述皆正確，故非答案。","ALL 預後因子：兒童（尤其 2–10 歲）、hyperdiploidy、t(12;21) 屬良好；成人、嬰兒、t(9;22) 費城染色體、初診白血球極高則不良。兒童 ALL 是化療成效最好的癌症之一，治癒率可達 8–9 成。費城染色體陽性 ALL 現可加用 TKI（如 imatinib）改善預後。",[25,28,30,32,34],{"term":26,"count":27},"費城染色體 t(9;22)",2,{"term":29,"count":11},"急性淋巴母細胞白血病",{"term":31,"count":11},"兒童預後優於成人",{"term":33,"count":11},"染色體高倍體",{"term":35,"count":11},"BCR-ABL",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-046","一般而言，腎結石以下列那一類結石最常見？",46,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-108-2-basic-medicine-062","leucovorin 與下列何種抗癌藥物同時使用，可以減低抗癌藥物的不良副作用？",62,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-076","某些病毒感染與人類腫瘤的發生具高度相關性。下列病毒感染與其相關聯之腫瘤發生之配對關係，何者錯誤？",76,109,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-034","臨床上引起肺栓塞（pulmonary embolism）栓子（embolus）最常見的來源，下列何者正確？",34,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-028","兒童之後天性心臟病最常見者為下列那一種？",28,112,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-113-2-basic-medicine-022","肝衰竭引發腹部腫大，下列敘述何者最不適當？",22,113,"2026-09-04",1788510708485]