[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-047":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-047","nurse-108-1-basic-medicine-047",108,1,47,"葡萄狀肉瘤（Sarcoma botryoides）為一種少見的原發陰道癌，病理是由下列那一種腫瘤構成？",{"A":15,"B":16,"C":17,"D":18},"胚胎型橫紋肌肉瘤（Embryonal rhabdomyosarcoma）","滑液膜肉瘤（Synovial sarcoma）","纖維肉瘤（Fibrosarcoma）","平滑肌肉瘤（Leiomyosarcoma）","A",null,[],"本題考點為葡萄狀肉瘤的病理來源。依腫瘤病理，葡萄狀肉瘤（sarcoma botryoides）為胚胎型橫紋肌肉瘤（embryonal rhabdomyosarcoma）的一種特殊亞型，好發於嬰幼兒的陰道、膀胱等黏膜表面，呈葡萄串狀息肉樣腫塊，鏡下可見未成熟橫紋肌母細胞，故選 A。滑液膜肉瘤（B）好發於年輕人關節旁軟組織；纖維肉瘤（C）源自纖維母細胞；平滑肌肉瘤（D）源自平滑肌，三者組織來源與好發部位皆與葡萄狀肉瘤不符，故非答案。","『botryoides』源自希臘文『葡萄串』，形容腫瘤突向黏膜腔呈葡萄樣。橫紋肌肉瘤分胚胎型（兒童、頭頸與泌尿生殖道，預後較好）、腺泡型（青少年四肢，預後差）與多形型（成人）。免疫染色 desmin、myogenin 陽性可佐證其橫紋肌來源。",[25,28,30,32,34],{"term":26,"count":27},"胚胎型橫紋肌肉瘤",2,{"term":29,"count":11},"葡萄狀肉瘤",{"term":31,"count":11},"橫紋肌母細胞",{"term":33,"count":11},"泌尿生殖道腫瘤",{"term":35,"count":11},"橫紋肌肉瘤分型",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-048","軟骨發育不全（Achondroplasia）的病人，他們的特徵符合下列那項敘述？",48,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-108-2-basic-medicine-064","服用下列何種藥物，須注意病人的視力是否有異常？",64,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-078","微生物學家科霍（Robert Koch）提出特定疾病病原的判斷原則，稱之為科霍假說（Koch’s postulate）。基於現代科技的進展，在應用的過程，科霍假說不適用於下列那一種疾病？",78,109,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-036","下列何者與 Epstein-Barr virus 之感染最有關？",36,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-030","下列何種內分泌疾病主因不是腦下垂體前葉的問題造成？",30,112,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-113-2-basic-medicine-024","Familial breast and ovarian carcinoma syndrome 的突變基因為何？",24,113,"2026-09-04",1788510708503]