[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-109-1-基礎醫學-043","nurse-109-1-basic-medicine-043",109,1,43,"有關急性淋巴母細胞性白血病（Acute lymphoblastic leukemia\u002Flymphoma）的病理敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"此種腫瘤由不成熟的 B or T 淋巴性細胞構成","以 T 細胞型（T-ALL）為多","大多會表現 Terminal deoxynucleotidyl transferase（TdT）","大部分的 ALL 會有染色體異常","B",null,[],"本題考點是急性淋巴母細胞性白血病（ALL）的細胞來源與流行特徵，須選「錯誤」敘述。ALL 以前驅 B 細胞型（B-ALL，pre-B）為最多數，而非 T 細胞型，故敘述「以 T 細胞型為多」錯誤，選 B。(A) 正確，ALL 由不成熟的 B 或 T 淋巴母細胞構成。(C) 正確，母細胞大多表現末端去氧核苷酸轉移酶（TdT），為淋巴母細胞標記。(D) 正確，多數 ALL 帶染色體異常（如超二倍體、t(12;21)、t(9;22) 等），具預後意義。故錯誤敘述為 B。","ALL 多見於兒童，約 80–85% 為 B 細胞前驅型（precursor B-ALL），T-ALL 約占少數且好發於青少年、常伴縱膈腔腫塊。免疫表型：TdT 陽性是不成熟淋巴母細胞標記；B 系表現 CD19、CD10（CALLA），T 系表現 CD3、CD7。細胞遺傳學決定預後：超二倍體與 t(12;21)ETV6-RUNX1 預後佳，t(9;22) 費城染色體（BCR-ABL）與 KMT2A 重排預後差。記憶：「ALL 主流是 B、TdT 陽性、常帶染色體變異」；本題陷阱在把主流誤植為 T 型。",[25,27,29,31,33],{"term":26,"count":11},"急性淋巴母細胞白血病ALL",{"term":28,"count":11},"前驅B細胞型",{"term":30,"count":11},"TdT末端去氧核苷酸轉移酶",{"term":32,"count":11},"染色體異常",{"term":34,"count":11},"免疫表型",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-basic-medicine-044","下列口腔黏膜病灶中，轉變成惡性腫瘤機會最高的是：",44,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-109-2-basic-medicine-060","Cimetidine抑制胃酸分泌的藥理作用，為下列何種機轉？",60,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-074","五大主要類型的免疫球蛋白（immunoglobulin）具有不同的性質與功能，下列敘述何者正確？",74,110,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-111-2-basic-medicine-032","下列降血壓藥物，何者初次服用會造成姿態性低血壓，可給予較少的起始劑量或睡前服用？",32,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-036","口服抗凝血劑warfarin中毒出血時，應如何救治最好？",36,113,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-114-2-basic-medicine-030","痛風為尿酸鈉結晶沉積於關節或附近組織造成發炎反應，關於痛風的臨床表現下列何者正確？",30,114,"2026-09-04",1788510711281]