[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-110-1-基礎醫學-038","nurse-110-1-basic-medicine-038",110,1,38,"有關微量變化疾病（minimal change disease）之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"90%以上的病人對類固醇治療反應良好","50%以上的病人，終究會出現慢性腎衰竭","以血尿（hematuria）為主要表現","因免疫沉澱物所引發","A",null,[],"本題考點是微量變化疾病的臨床特徵與預後。依此病的病生理,足細胞足突瀰漫性融合造成大量蛋白尿與腎病症候群,對類固醇反應極佳,九成以上病人使用類固醇後緩解,故選 A。考點在於掌握其良性本質:B 錯,微量變化疾病預後好,極少進展至慢性腎衰竭;C 錯,它以大量蛋白尿與水腫為主,而非血尿(血尿較屬腎絲球腎炎);D 錯,光學顯微鏡與免疫螢光下並無明顯免疫複合物沉積,電子顯微鏡僅見足突消失,故非免疫沉澱所致。","微量變化疾病是兒童腎病症候群最常見成因,特徵是「光鏡幾乎正常、免疫螢光陰性、電鏡見足突消失」三合一。發病與 T 細胞失調產生的循環通透因子有關,故對類固醇高度敏感。記憶法:名字叫「微量變化」正因光鏡看不出變化,唯電鏡才現形;對比膜性腎病則是免疫複合物沉積、釘狀突起、預後較差。",[25,28,31,33,35],{"term":26,"count":27},"腎病症候群",4,{"term":29,"count":30},"蛋白尿",2,{"term":32,"count":11},"微量變化疾病",{"term":34,"count":11},"足細胞足突融合",{"term":36,"count":11},"類固醇反應",[38,42,46,51,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-1-basic-medicine-039","下列何種乳房疾病是造成乳頭的派吉特氏症（Paget disease）的最主要成因？",39,{"webId":43,"stem":44,"number":45,"year":10,"session":30},"nurse-110-2-basic-medicine-055","非典型抗憂鬱藥物，下列何者可降低菸癮者對尼古丁的渴求？",55,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-111-1-basic-medicine-069","絕對厭氧菌不能在有氧環境下生長，是因為缺乏以下何種酵素？",69,111,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-basic-medicine-037","下列抗心律不整藥物中，何者為人體內生性物質，經靜脈方式給與高劑量時，可以有效治療心室上心搏過速（supraventricular tachycardias）？",37,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-114-1-basic-medicine-041","細菌間遺傳物質移轉有不同方式，其中噬菌體（phage）是藉由下列何種方式進行？",41,114,{"webId":63,"stem":64,"number":65,"year":66,"session":30},"nurse-115-2-basic-medicine-035","下列關於 cimetidine 之敘述，何者錯誤？",35,115,"2026-09-04",1788510719462]