[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-110-2-基礎醫學-009","nurse-110-2-basic-medicine-009",110,2,9,"下列何者不是皮膚表皮（epidermis）的細胞層？",{"A":15,"B":16,"C":17,"D":18},"基底層（stratum basale）","棘狀層（stratum spinosum）","顆粒層（stratum granulosum）","網狀層（reticular layer）","D",null,[],"本題考點是皮膚表皮的分層構造。依組織學，表皮由深至淺分為基底層、棘狀層、顆粒層、透明層與角質層，皆屬複層鱗狀上皮。網狀層（reticular layer）為真皮的深層構造，由緻密結締組織與膠原纖維構成，屬真皮而非表皮的細胞層，故錯誤者選 D。A 基底層、B 棘狀層、C 顆粒層皆屬表皮正常分層，敘述正確；表皮為複層鱗狀上皮、無血管，真皮才含血管與感覺受器。故選 D。","表皮五層由深至淺記憶口訣『基棘顆透角』：基底層負責增生、棘狀層以橋粒相連、顆粒層開始角質化並失去細胞核、透明層僅見於手掌腳掌等厚皮、角質層為死細胞屏障。真皮則分乳突層（疏鬆、含微血管與觸覺受器）與網狀層（緻密、含膠原與彈性纖維）。辨題關鍵是分清『表皮的層都在上皮內，含網狀或乳突字樣者屬真皮』，故網狀層為排除答案。",[25,28,30,32],{"term":26,"count":27},"複層鱗狀上皮",4,{"term":29,"count":11},"表皮分層",{"term":31,"count":11},"真皮網狀層",{"term":33,"count":34},"角質化過程",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-010","心尖的位置約在左鎖骨中線與第幾肋間的交會處？",10,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-basic-medicine-026","下列有關人體缺血性休克後造成排尿量下降的主要原因，何者最不可能？",26,111,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-111-2-basic-medicine-040","Imatinib 是慢性骨髓性白血病（chronic myeloid leukemia）的標靶療法用藥，下列何者為其作用機轉？",40,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-113-1-basic-medicine-038","治療糖尿病的用藥canagliflozin，其主要作用機制為何？",38,113,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-114-2-basic-medicine-042","下列何者為正確的五大主要類型免疫球蛋白（immunoglobulin）？",42,114,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-106-1-basic-medicine-036","下列何種腫瘤之發生最符合基因雙重打擊理論（two hit hypothesis）？",36,106,"2026-09-04",1788510727374]