[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-108-2-基礎醫學-036","nurse-108-2-basic-medicine-036",108,2,36,"岡氏複合體（Ghon complex）是那一類結核病的病理表現？",{"A":15,"B":16,"C":17,"D":18},"原發性結核病","繼發性結核病","結核性腸炎","粟粒狀結核病","A",null,[],"本題考點在結核病的病理分型與岡氏複合體的定義。依病理學，岡氏複合體（Ghon complex）指初次感染結核菌時，肺實質周邊形成的岡氏病灶（Ghon focus）加上引流區的肺門淋巴結乾酪性病變，兩者合稱，是原發性結核病的特徵表現，故選A。B繼發性結核多見於肺尖再活化，病灶為空洞而非岡氏複合體。C結核性腸炎屬肺外結核，非此定義。D粟粒狀結核為菌隨血行播散形成瀰漫小結節，屬全身散布型，亦非岡氏複合體。","原發性結核（primary TB）多發生於初次接觸者，好發於肺中下葉周邊（通氣量大處），岡氏病灶＋淋巴結病變構成岡氏複合體，癒合鈣化後可於X光見到。繼發性（reactivation）則因免疫下降再活化，好發肺尖（氧分壓高利於好氧菌）並形成空洞。記憶對比：原發＝周邊＋淋巴結（Ghon complex）；繼發＝肺尖＋空洞。可連結：乾酪樣壞死、Ranke complex（鈣化後）、肺尖再活化、粟粒性播散。",[25,27,29,31],{"term":26,"count":11},"岡氏複合體",{"term":15,"count":28},1,{"term":30,"count":28},"肺門淋巴結乾酪性病變",{"term":32,"count":28},"繼發性結核肺尖空洞",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-108-2-basic-medicine-037","下列何種致病原導致的肺炎在常規組織切片之顯微特徵為肺泡內充滿泡沬狀嗜酸性物質？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-basic-medicine-053","下列何者可用於預防和改善暈車和暈船（motion sickness）作用？",53,109,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-109-2-basic-medicine-067","臨床上以免疫學方法快速診斷隱球菌（Cryptococcus neoformans）引起之感染，通常是直接偵測下列何者？",67,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-basic-medicine-025","正常成年男子之腎絲球過濾率（glomerular filtration rate）約為多少 mL\u002Fmin？",25,111,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-112-2-basic-medicine-049","下列有關輪狀病毒（Rotavirus）的敘述，何者錯誤？",49,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-basic-medicine-043","具先天性第二型主要組織相容性複合體（MHC class II）缺陷的人，體內易有何種病變？",43,113,3,"2026-09-04",1788510705103]