[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-041":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-108-2-基礎醫學-041","nurse-108-2-basic-medicine-041",108,2,41,"50 歲女性，身材略微肥胖，且有糖尿病及高血壓的病史，最近因陰道出血就診。下列何種診斷的可能性最低？",{"A":15,"B":16,"C":17,"D":18},"子宮肌瘤","子宮內膜癌","子宮內膜異位症","胚胎型橫紋肌肉瘤","D",null,[],"本題考點在依病人年齡與危險因子判斷婦科出血診斷的可能性高低。此50歲、肥胖、糖尿病、高血壓婦女出現陰道出血，其危險因子高度指向子宮內膜癌（B），而子宮肌瘤（A）與子宮內膜異位症（C）在生育年齡至更年期婦女也屬常見。D胚胎型橫紋肌肉瘤（葡萄狀肉瘤）好發於嬰幼兒與青春期前女童的陰道，屬兒童惡性軟組織腫瘤，在50歲婦女極為罕見，故可能性最低，選D。","解題邏輯是『年齡－好發病理』的對應：50歲圍停經婦女＋肥胖、糖尿病、高血壓，構成雌激素過度暴露的三高背景，是子宮內膜癌的典型危險輪廓（脂肪組織把雄性素轉為雌性素）。胚胎型橫紋肌肉瘤則是年齡完全錯位——它屬小兒腫瘤。記憶要訣：看到年齡與腫瘤好發族群不符，就是『可能性最低』的陷阱選項。可連結：無對抗雌激素刺激、子宮內膜增生、葡萄狀肉瘤好發年齡、危險因子權重。",[25,28,30,32],{"term":26,"count":27},"子宮內膜癌危險因子",1,{"term":29,"count":27},"雌激素過度暴露",{"term":31,"count":27},"胚胎型橫紋肌肉瘤好發年齡",{"term":33,"count":27},"年齡與腫瘤對應",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-042","有關癌症（cancer）的分期（staging）及分級（grading）之敘述，下列何者最正確？",42,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-058","關節炎之發炎反應可用 celecoxib 加以治療，其較少引發胃腸道出血。此藥物主要阻斷何種自泌素之生合成？",58,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-072","下列何者具有過濾血液中病原體以及清除衰老的血球細胞和血小板的功能？",72,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-030","下列何種激素在懷孕過程中不會大量增加？",30,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-basic-medicine-004","喉結（laryngeal prominence）主要是由喉部（larynx）的那一塊軟骨構成？",4,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-113-3-basic-medicine-048","單股（＋）strand RNA 病毒在宿主細胞內繁殖的特性為何？",48,113,"2026-09-04",1788510705153]