[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-080":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-080","nurse-108-2-basic-medicine-080",108,2,80,"目前認為下列那種吸蟲感染與人類膽管癌的發生最有關係？",{"A":15,"B":16,"C":17,"D":18},"槍狀肝吸蟲","香貓肝吸蟲","貓肝吸蟲","中華肝吸蟲","D",null,[],"本題考點是肝吸蟲與膽管癌（cholangiocarcinoma）的關聯。中華肝吸蟲（Clonorchis sinensis）寄生於膽道，長期慢性感染造成膽管上皮反覆發炎、增生與化生，被列為與人類膽管癌關係最密切的寄生蟲（與泰國的Opisthorchis viverrini同屬此致癌機轉），故選D。A槍狀肝吸蟲（Dicrocoelium）、B、C所列吸蟲與人類膽管癌的關聯性遠不及中華肝吸蟲，並非公認主因。故答案D。","致癌機轉：成蟲寄居膽管→慢性機械與代謝刺激→膽管上皮慢性發炎、纖維化、腺瘤性增生→經年累月演變為膽管癌，屬「慢性感染致癌」的經典範例（可與HBV／HCV—肝細胞癌、幽門螺旋桿菌—胃癌、HPV—子宮頸癌對照記憶）。中華肝吸蟲流行於東亞（含台灣早年）與食用生淡水魚地區，感染途徑為食入含囊蚴的生／未煮熟淡水魚。WHO國際癌症研究署（IARC）將Clonorchis sinensis與Opisthorchis viverrini列為第一類致癌物。",[25,28,30,32],{"term":26,"count":27},"中華肝吸蟲Clonorchis sinensis",1,{"term":29,"count":27},"膽管癌",{"term":31,"count":27},"慢性膽道發炎致癌",{"term":33,"count":27},"生食淡水魚感染途徑",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":27,"year":38,"session":27},"nurse-109-1-basic-medicine-001","下列有關汗腺的敘述，何者正確？",109,{"webId":40,"stem":41,"number":42,"year":38,"session":11},"nurse-109-2-basic-medicine-017","一莫耳葡萄糖（即180克）溶解於1公升水中所產生的滲透壓濃度為多少Osmol\u002FL？",17,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-110-1-basic-medicine-031","腎臟對水的再吸收與下列何種離子最為相關？",31,110,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-069","絕對厭氧菌不能在有氧環境下生長，是因為缺乏以下何種酵素？",69,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-basic-medicine-043","下列何種過敏反應主要是由 IgE 抗體所引起？",43,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-114-1-basic-medicine-037","下列何種藥物最適合以吸入方式用於緩解急性氣喘（asthma）發作？",37,114,"2026-09-04",1788510705492]