[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-046":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-046","nurse-108-2-basic-medicine-046",108,2,46,"關於肺塵埃沉著症（pneumoconiosis）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"因環境因素吸入微粒性物質，造成肺內局部堆積引起肺部纖維化","常發生於各類礦工、玻璃切割工及陶瓷工","石棉沉著症與肋膜惡性間皮瘤有關","對吸入微粒性物質產生之過敏反應，導致肺纖維化","D",null,[],"本題考點在肺塵埃沉著症的定義與其和過敏性肺病的區別。依職業病理學，肺塵埃沉著症因長期吸入礦物微粒（如矽、煤、石棉）沉積於肺、引發纖維化，好發於礦工、玻璃切割工與陶瓷工，故A、B正確；石棉沉著症與肋膜惡性間皮瘤相關（C正確）。D敘述『對吸入微粒產生過敏反應導致肺纖維化』描述的是過敏性肺炎（hypersensitivity pneumonitis）的免疫機轉，而非肺塵埃沉著症以微粒直接沉積與塵細胞反應為主的病生理，故D錯誤。","肺塵埃沉著症的核心機轉是巨噬細胞吞噬無法分解的礦物微粒後釋放發炎與纖維化因子（如矽塵引發矽肺結節），屬『物理性沉積誘發纖維化』，非第三\u002F四型過敏。過敏性肺炎則是對有機粉塵或黴菌抗原的免疫過敏反應。記憶對比：塵肺＝無機礦物沉積、職業別鮮明；過敏性肺炎＝有機抗原、免疫致敏。可連結：矽肺結節、石棉小體與間皮瘤、巨噬細胞纖維化、過敏性肺炎鑑別。",[25,28,30,32],{"term":26,"count":27},"肺塵埃沉著症微粒沉積",1,{"term":29,"count":27},"礦物粉塵職業暴露",{"term":31,"count":27},"石棉與惡性間皮瘤",{"term":33,"count":27},"過敏性肺炎免疫機轉區別",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-047","下列關於急性腎小管傷害（acute tubular injury, ATI）的敘述何者錯誤？",47,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-063","長期使用 corticosteroid 的常見副作用中，下列何者錯誤？",63,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-077","下列何種真菌會產生萌芽管（germ tube）？",77,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-035","帶狀疱疹病毒（Varicella-Zoster virus）在初次感染人體後，會潛伏在人體何種細胞中？",35,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-basic-medicine-009","下列何者連接第三腦室與第四腦室？",9,112,3,{"webId":60,"stem":61,"number":58,"year":62,"session":27},"nurse-114-1-basic-medicine-003","下列何者會導致電位過極化（hyperpolarizing），進而誘發抑制性突觸後電位（inhibitory postsynaptic potential, IPSP）的表現？",114,"2026-09-04",1788510705214]