[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-038","nurse-109-2-basic-medicine-038",109,2,38,"有關威爾斯瘤（Wilms tumor）之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"主要發生於五歲以下幼童","主要於腎盂處出現","血尿為最常見之臨床表現","為良性腫瘤","A",null,[],"本題考點是威爾姆氏瘤(Wilms tumor,腎母細胞瘤)的臨床病理特徵。依小兒腫瘤學,此瘤源自後腎胚芽組織,是幼童最常見的原發性腎臟惡性腫瘤,主要好發於五歲以下(尤其2-5歲)幼童,故正解A。B主要於腎盂處出現不對:Wilms瘤起源於腎實質(腎皮質),而非腎盂,腎盂處的常是成人的移行細胞癌。C血尿為最常見表現亦不對:最常見的臨床表現是無痛性腹部腫塊(常由家長洗澡時摸到),血尿只是部分病例才有。D為良性腫瘤錯誤:Wilms瘤是惡性腫瘤,可轉移至肺。故唯一正確者為A的好發年齡。","Wilms瘤:典型三相組織學(胚芽、上皮、間質),與WT1基因相關,可合併先天症候群(WAGR:Wilms瘤+無虹膜+泌尿生殖異常+智能不足;Beckwith-Wiedemann)。臨床:單側無痛腹部腫塊、可伴血尿與高血壓(腎素分泌),影像可與神經母細胞瘤鑑別(後者常越過中線、鈣化多、來自腎上腺\u002F交感鏈)。預後相對良好,治療合併手術、化療±放療。記憶:「幼童+腎實質腫塊+惡性→Wilms」,而神經母細胞瘤好發更小年紀且來自腎上腺髓質。",[25,27,29,32,34],{"term":26,"count":11},"腎母細胞瘤",{"term":28,"count":11},"後腎胚芽",{"term":30,"count":31},"威爾姆氏瘤",1,{"term":33,"count":31},"五歲以下幼童",{"term":35,"count":31},"腹部腫塊",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-039","有關杭汀頓氏病（Huntington disease）的敘述，下列何者錯誤？",39,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-basic-medicine-055","下列何者不是 physostigmine 的作用？",55,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-069","主要抑制麥角固醇（ergosterol）合成有關之抗真菌藥物為何？",69,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-007","子宮的那一部分直接與陰道（vagina）相接，可以藉由陰道擴張器（vaginal dilator）直接觀察檢測？",7,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-011","在骨骼肌細胞（skeletal muscle cell）收縮過程中，產生力擊（power stroke）後，肌凝蛋白（myosin）會與 ①結合，並造成橫橋（cross-bridge）與肌動蛋白（actin）發生②的反應，下列①、②配對，何者正確？",11,113,3,{"webId":62,"stem":63,"number":64,"year":65,"session":31},"nurse-115-1-basic-medicine-005","下列氣體與血紅素的親合力，何者最高？",5,115,"2026-09-04",1788510715087]