[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":68},"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-045","nurse-109-2-basic-medicine-045",109,2,45,"關於自體免疫性胃炎（autoimmune gastritis）之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"最好發於胃竇部（antrum）","胃液中可檢查出對抗壁細胞（parietal cells）及內在因子（intrinsic factor）的抗體","胃黏膜萎縮，胃酸分泌減少","嚴重時會導致惡性貧血（pernicious anemia）","A",null,[],"本題考點在於自體免疫性胃炎的病理特徵,屬「找錯誤敘述」題。考點在於病灶好發部位:自體免疫性胃炎的抗體攻擊胃體與胃底的壁細胞,病變主要在胃體部(body\u002Ffundus),而非胃竇部,故A敘述錯誤為答案。B正確,因血清可測到抗壁細胞抗體與抗內在因子抗體,是診斷依據;C正確,壁細胞遭破壞使胃黏膜萎縮、鹽酸與內在因子分泌雙雙減少;D正確,內在因子缺乏使維生素B12無法在迴腸吸收,最終導致惡性貧血。三者敘述皆符合病生理,唯獨好發部位寫成胃竇部有誤。","對比記憶:自體免疫性胃炎攻擊「胃體\u002F胃底」的壁細胞(酸與內在因子的來源),故典型後果是低胃酸→高gastrin血症(胃竇G細胞代償)、B12缺乏、巨球性惡性貧血;而幽門螺旋桿菌相關慢性胃炎才好發於胃竇部。內在因子缺乏使B12吸收中斷,連帶影響神經系統(亞急性合併變性)。壁細胞抗體、內在因子抗體是血清學指標。可連結惡性貧血、巨母紅血球性貧血與Schilling test概念複習。",[25,28,31,34,36],{"term":26,"count":27},"內在因子",6,{"term":29,"count":30},"惡性貧血",4,{"term":32,"count":33},"自體免疫性胃炎",1,{"term":35,"count":33},"壁細胞抗體",{"term":37,"count":33},"胃體部",[39,43,48,52,57,63],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-109-2-basic-medicine-046","下列關於睪丸腫瘤的敘述，何者錯誤？",46,{"webId":44,"stem":45,"number":46,"year":47,"session":33},"nurse-110-1-basic-medicine-062","下列何種藥物可用於治療肢端肥大症（acromegaly）？",62,110,{"webId":49,"stem":50,"number":51,"year":47,"session":11},"nurse-110-2-basic-medicine-076","關於新型隱球菌（Cryptococcus neoformans）的敘述，下列何者錯誤？",76,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-112-2-basic-medicine-014","生長激素對胰島素代謝有何影響？",14,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-basic-medicine-018","抗利尿激素（antidiuretic hormone）在下列那個腦區合成？",18,113,3,{"webId":64,"stem":65,"number":66,"year":67,"session":33},"nurse-115-1-basic-medicine-012","下列何者不具上皮組織？",12,115,"2026-09-04",1788510715155]