[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"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-110-1-基礎醫學-046","nurse-110-1-basic-medicine-046",110,1,46,"克林氏潰瘍（Curling ulcer）最容易發生在那種病人身上？",{"A":15,"B":16,"C":17,"D":18},"長期服用阿司匹靈（Aspirin）","嚴重燒傷","車禍之後嚴重頭痛","感染幽門螺旋桿菌","B",null,[],"本題考點是壓力性潰瘍的特定情境對應。依克林氏潰瘍的定義,它是嚴重燒傷後因血容量下降、胃黏膜缺血所引發的急性胃十二指腸潰瘍,故最容易發生於嚴重燒傷病人,選 B。考點在於區分不同誘因的胃潰瘍:A 長期服用阿司匹靈是非類固醇抗發炎藥抑制環氧合酶所致的藥物性潰瘍;C 車禍後嚴重頭痛暗示顱內壓上升,對應的是庫欣氏潰瘍(Cushing ulcer);D 幽門螺旋桿菌感染是慢性消化性潰瘍最常見成因,三者皆非燒傷相關的克林氏潰瘍。","壓力性潰瘍兩大命名要分清:Curling ulcer 綁「燒傷(Curling 諧音 curling burn)」,機轉是低血容與內臟灌流不足致胃黏膜缺血;Cushing ulcer 綁「腦傷\u002F顱內壓升高」,機轉是迷走神經興奮使胃酸過度分泌。記憶法:燒傷 Curling、腦傷 Cushing,一皮一腦,對照記最不易忘。",[25,27,28,30,32],{"term":26,"count":11},"克林氏潰瘍",{"term":16,"count":11},{"term":29,"count":11},"壓力性潰瘍",{"term":31,"count":11},"胃黏膜缺血",{"term":33,"count":11},"庫欣氏潰瘍",[35,39,44,49,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-1-basic-medicine-047","陰莖鱗狀細胞瘤及前驅病變，與下列何種病毒最有關？",47,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-110-2-basic-medicine-063","下列何種藥物可以治療免疫不全病人，因感染巨細胞病毒（CMV）導致視網膜炎，以及對 acyclovir 無效之單純疱疹病毒感染？",63,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-111-1-basic-medicine-077","補體活化後最終形成膜攻擊複合體（membrane attack complex, MAC）。下列何者較易受到這項防禦機制的作用而死亡？",77,111,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-basic-medicine-045","造成軟性下疳（chancroid）的病原菌為何？",45,112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-114-1-basic-medicine-049","下列何種RNA病毒沒有上市的疫苗可預防其感染？",49,114,{"webId":61,"stem":62,"number":63,"year":64,"session":43},"nurse-115-2-basic-medicine-043","下列有關病毒感染所引起的免疫防禦機制，何者錯誤？",43,115,"2026-09-04",1788510719537]