[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-044":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-109-2-基礎醫學-044","nurse-109-2-basic-medicine-044",109,2,44,"下列何者不是出血病症（bleeding disorder）之原因？",{"A":15,"B":16,"C":17,"D":18},"維生素D缺乏","Von Willebrand病","第Ⅷ因子缺乏","肝硬化","A",null,[],"本題考點在於出血病症的病因分類。凝血依賴凝血因子、血小板與血管完整性,考點在於辨識哪項與凝血無直接關係。維生素D的角色是鈣磷代謝與骨骼礦化,不參與凝血因子合成,故缺乏不致出血,選A。真正影響凝血的是維生素K(非D),為第Ⅱ、Ⅶ、Ⅸ、Ⅹ因子羧化所需。B的von Willebrand病因該因子不足使血小板黏附障礙;C的第Ⅷ因子缺乏即血友病A,內在路徑受阻;D的肝硬化因肝是多數凝血因子合成場所,衰退致因子普遍不足。三者皆為出血原因,唯維生素D缺乏無關。","關鍵是把「維生素D」與「維生素K」分清:K才是凝血維生素,口訣「K=Koagulation(凝固)」;D管鈣磷與骨。肝硬化出血是多重機轉:凝血因子合成下降、脾腫大造成血小板破壞、以及門脈高壓食道靜脈曲張。血友病A(第Ⅷ因子)與B(第Ⅸ因子)皆為X染色體隱性遺傳。von Willebrand病是最常見的遺傳性出血疾病,同時牽動初級(血小板黏附)與部分次級止血。可連結凝血瀑布內在\u002F外在路徑與維生素K依賴因子複習。",[25,28,30,32],{"term":26,"count":27},"維生素K依賴凝血因子",1,{"term":29,"count":27},"血友病A",{"term":31,"count":27},"von Willebrand因子",{"term":33,"count":27},"肝臟凝血因子合成",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-basic-medicine-045","關於自體免疫性胃炎（autoimmune gastritis）之敘述，下列何者錯誤？",45,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-basic-medicine-061","關於 corticosteroid 的臨床用途，下列何者錯誤？",61,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-basic-medicine-075","關於萊姆病（Lyme disease）及其病原體的敘述，下列何者錯誤？",75,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-2-basic-medicine-013","下列何者腦區受損與順向失憶症（Anterograde Amnesia）最為相關？",13,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-basic-medicine-017","一個 70 歲老人的心電圖（ECG）如下，他的心跳每分鐘約多少下？",17,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-115-1-basic-medicine-011","下列那兩種內分泌器官，其主體是由神經組織以及腺體組織共同發育組合形成？",11,115,"2026-09-04",1788510715145]