[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-109-2-基礎醫學-036","nurse-109-2-basic-medicine-036",109,2,36,"下列那一個心臟腔室發生原發性腫瘤的機率最高？",{"A":15,"B":16,"C":17,"D":18},"左心房","左心室","右心房","右心室","A",null,[],"本題考點是心臟原發性腫瘤的好發腔室。依心臟病理,心臟原發性腫瘤本身罕見,其中成人最常見的良性原發腫瘤是黏液瘤(myxoma),而黏液瘤約75-80%發生於左心房(常附著於卵圓窩附近的心房中隔),故心臟原發腫瘤機率最高的腔室為左心房,正解A。B左心室、C右心房、D右心室雖也可能發生黏液瘤或其他原發腫瘤,但依臨床統計,其發生比率均明顯低於左心房,並非最好發部位。故以好發機率而言,答案選左心房。","心臟腫瘤:轉移性(續發)遠多於原發性,原發中良性以黏液瘤最常見(成人),嬰幼兒則以橫紋肌瘤(rhabdomyoma,常伴結節性硬化症)為主。左心房黏液瘤臨床可因帶蒂腫瘤在舒張期堵住二尖瓣,造成類似二尖瓣狹窄的症狀、姿勢性昏厥、栓塞及全身性發炎徵象(發燒、體重減輕),聽診可聞腫瘤撲落音(tumor plop)。記憶:「成人黏液瘤,最愛左心房中隔;小兒橫紋肌瘤,想結節硬化」。",[25,27,30,31,33],{"term":26,"count":11},"心房中隔",{"term":28,"count":29},"心臟黏液瘤",1,{"term":15,"count":29},{"term":32,"count":29},"原發性心臟腫瘤",{"term":34,"count":29},"橫紋肌瘤",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-basic-medicine-037","下列何者不是肝衰竭（hepatic failure）的臨床症狀？",37,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-110-1-basic-medicine-053","有關可待因（codeine）的敘述，下列何者錯誤？",53,110,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-110-2-basic-medicine-067","如果在出生後立即切除胸腺，主要會影響下列何種免疫反應？",67,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-basic-medicine-005","腎動脈是下列何者的直接分支？",5,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-basic-medicine-009","下列何者分泌內在因子（intrinsic factor），以協助維生素 B 12 之吸收？",9,113,3,{"webId":61,"stem":62,"number":59,"year":63,"session":29},"nurse-115-1-basic-medicine-003","當一個人正在思考如何解決問題時，大腦那一區域活性最高？",115,"2026-09-04",1788510715070]