[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-047":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":27},"nurse-109-2-基礎醫學-047","nurse-109-2-basic-medicine-047",109,2,47,"下列甲狀腺癌那一種最容易產生類澱粉沉積症（amyloidosis）？",{"A":15,"B":16,"C":17,"D":18},"乳突癌（papillary carcinoma）","濾泡癌（follicular carcinoma）","髓質癌（medullary carcinoma）","退行性分化癌（anaplastic carcinoma）","C",null,[],"本題考點在於甲狀腺癌的細胞來源與其分泌產物。考點在於哪一型甲狀腺癌會伴類澱粉沉積:髓質癌源自濾泡旁C細胞,會分泌calcitonin,過量的calcitonin前驅蛋白沉積於間質形成類澱粉物質,故選C。A的乳突癌源自濾泡上皮,以砂粒體(psammoma body)與毛玻璃核為特徵,不產生類澱粉。B的濾泡癌同樣源自濾泡上皮,特徵是包膜與血管侵犯,亦無類澱粉。D的退行性分化癌屬未分化、高度惡性,以巨大多形細胞為主,並非以類澱粉沉積為標誌。唯髓質癌因calcitonin而具類澱粉,為正解。","髓質癌關鍵三連結:源自C細胞→分泌calcitonin→間質類澱粉沉積,且可為家族型並與MEN 2A\u002F2B、RET原致癌基因突變相關。calcitonin可作為腫瘤指標追蹤。對照記憶:乳突癌看核(Orphan Annie eye核、核溝、砂粒體)、濾泡癌看侵犯(包膜\u002F血管)、退行性癌看惡性度(老年、預後極差)。可連結MEN症候群、calcitonin生理(降血鈣)與類澱粉染色(Congo red呈蘋果綠雙折射)複習。",[25,28,30,32,34],{"term":26,"count":27},"甲狀腺髓質癌",1,{"term":29,"count":27},"濾泡旁C細胞",{"term":31,"count":27},"calcitonin",{"term":33,"count":27},"類澱粉沉積",{"term":35,"count":27},"MEN 2",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-048","下列何者是惡性軟組織腫瘤？",48,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-110-1-basic-medicine-064","下列何者與磺胺藥（sulfadoxine）混合使用，以治療弓形蟲（Toxoplasma gondii）之感染？",64,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-078","下列何類型藥物，無法用於抑制人類免疫缺乏病毒（HIV）？",78,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-016","過敏性休克的特徵為何？",16,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-020","有關脂肪乳化（emulsification）的敘述，下列何者正確？",20,113,3,{"webId":62,"stem":63,"number":64,"year":65,"session":27},"nurse-115-1-basic-medicine-014","以聽診器聽取病人心跳時，下列那一個瓣膜關閉時產生第一心音？",14,115,"2026-09-04",1788510715167]