[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-108-2-基礎醫學-045","nurse-108-2-basic-medicine-045",108,2,45,"關於胃腸道基質瘤（gastrointestinal stromal tumor）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"最好發在小腸","被認為起源於 Cajal 氏間質細胞（interstitial cells of Cajal）","大部份具有 c-KIT 或 PDGFRA 基因的突變","預後和腫瘤大小、腫瘤細胞有絲分裂數目及發生位置有關","A",null,[],"本題考點在胃腸道基質瘤（GIST）的好發部位與分子特徵。依病理學，GIST最好發於胃（約六至七成），其次才是小腸，故A『最好發在小腸』敘述錯誤，為本題答案。B正確：GIST起源於掌控腸道蠕動節律的Cajal氏間質細胞。C正確：多數帶有c-KIT或PDGFRA基因活化突變，是標靶藥物imatinib的作用基礎。D正確：預後取決於腫瘤大小、有絲分裂數與發生位置，此為風險分層依據。","GIST的分子核心是c-KIT（CD117）受體酪胺酸激酶的活化突變，使細胞持續增殖訊號，這也讓imatinib（酪胺酸激酶抑制劑）成為標靶治療，是『分子病理帶動治療』的經典案例。起源細胞Cajal間質細胞是腸道的『節律器（pacemaker）』。記憶要訣：GIST『胃最多、CD117陽性、吃imatinib、看大小與分裂數定風險』。可連結：CD117\u002Fc-KIT、Cajal間質細胞、imatinib標靶、有絲分裂指數風險分層。",[25,28,30,32],{"term":26,"count":27},"胃腸道基質瘤好發於胃",1,{"term":29,"count":27},"Cajal氏間質細胞起源",{"term":31,"count":27},"c-KIT\u002FPDGFRA突變",{"term":33,"count":27},"腫瘤大小與有絲分裂數風險",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-046","關於肺塵埃沉著症（pneumoconiosis）的敘述，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-062","下列何者是屬於具有抗發炎作用的氣喘用藥？",62,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-076","下列關於痲瘋分枝桿菌（Mycobacterium leprae）的敘述，何者正確？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-034","下列何者最不代表惡性細胞的病理特徵？",34,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-basic-medicine-008","胃壁之肌肉層依其走向由內而外之排列為何？",8,112,3,{"webId":60,"stem":61,"number":11,"year":62,"session":27},"nurse-114-1-basic-medicine-002","下列何種疾病與耳朵功能異常最無關？",114,"2026-09-04",1788510705195]