[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-109-1-基礎醫學-039","nurse-109-1-basic-medicine-039",109,1,39,"下列何者最不可能引起左心衰竭（left heart failure）？",{"A":15,"B":16,"C":17,"D":18},"主動脈瓣功能不全","二尖瓣功能不全","缺血性心臟病","肺動脈狹窄","D",null,[],"本題考點是左心衰竭的病因辨識。肺動脈狹窄增加的是右心室後負荷、造成右心衰竭，最不可能引起左心衰竭，故選 D。(A) 主動脈瓣功能不全使血液回流左心室、增加左心室容積負荷，可致左心衰竭。(B) 二尖瓣功能不全使左心室血液逆流回左心房，增加左心負荷，可致左心衰竭。(C) 缺血性心臟病損及左心室心肌收縮力，是左心衰竭最常見原因之一。三者皆累及左心，唯肺動脈狹窄作用於右心，故最不可能引起左心衰竭者為 D。","左心衰竭常見病因：缺血性心臟病、高血壓、主動脈瓣\u002F二尖瓣病變、擴張型心肌病，表現為肺鬱血（呼吸困難、端坐呼吸、夜間陣發性呼吸困難、肺水腫）。右心衰竭常見病因：左心衰竭續發、肺動脈高壓、肺源性心臟病、肺動脈或肺瓣狹窄，表現為體循環鬱血（頸靜脈怒張、肝腫大、下肢水腫、腹水）。記憶：「左心顧全身輸出、衰竭淹肺；右心顧回流、衰竭淹身」。肺動脈狹窄阻在右心出口，故屬右心負荷病因。",[25,28,30,32,34],{"term":26,"count":27},"右心衰竭",3,{"term":18,"count":29},2,{"term":31,"count":11},"左心衰竭",{"term":33,"count":11},"瓣膜性心臟病",{"term":35,"count":11},"後負荷與容積負荷",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-basic-medicine-040","一位中年男性於月前發生腦梗塞後，醫師在後續電腦斷層掃描檢查時，在皮質部發現一個囊狀的區域，這個變化最可能造成原因是腦組織發生：",40,{"webId":42,"stem":43,"number":44,"year":10,"session":29},"nurse-109-2-basic-medicine-056","下列何種藥物不用於治療帕金森氏症？",56,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-070","下列何者是致死率極高，目前世界衛生組織宣布已經被人類消滅之 DNA 病毒？",70,110,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-111-2-basic-medicine-028","關於 A 型肝炎（hepatitis A）的敘述，下列何者正確？",28,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-032","下列何者最常用於緊急治療過敏性休克（anaphylactic shock）？",32,113,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-114-2-basic-medicine-026","3 歲男性，右側睪丸有一個腫瘤，抽血發現血清中的甲型胎兒蛋白（α -fetoprotein）異常升高，他的睪丸腫瘤最可能是那一種？",26,114,"2026-09-04",1788510711247]