[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-110-2-基礎醫學-034","nurse-110-2-basic-medicine-034",110,2,34,"臨床上引起肺栓塞（pulmonary embolism）栓子（embolus）最常見的來源，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"上腔靜脈","下腔靜脈","大隱靜脈","下肢深部靜脈","D",null,[],"本題考點在肺栓塞栓子的最常見來源。依病理生理,肺栓塞的栓子絕大多數來自下肢深部靜脈血栓(DVT),尤其膕靜脈以上的近端深靜脈血栓脫落後,循下腔靜脈回流經右心進入肺動脈造成阻塞,故選D。A上腔靜脈引流上半身、極少為主要來源;B下腔靜脈為栓子回流的通道而非原發形成處;C大隱靜脈屬淺層靜脈,其血栓(表淺靜脈炎)較少造成肺栓塞。故最常見來源為下肢深部靜脈。","Virchow三要素:血流滯緩、血管內皮損傷、血液高凝。久臥、術後、長途飛行、惡性腫瘤、口服避孕藥皆增DVT風險。血栓脫落成栓子→下腔靜脈→右心→肺動脈即肺栓塞,大者可致猝死或右心衰竭。臨床連結:Homan徵、D-dimer篩檢、預防性抗凝與早期下床活動。淺靜脈較少進入肺循環故風險低。",[25,28,31,33],{"term":26,"count":27},"肺栓塞",5,{"term":29,"count":30},"下肢深部靜脈血栓",1,{"term":32,"count":30},"Virchow三要素",{"term":34,"count":30},"栓子",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-035","嗜伊紅性白血球增多（eosinophilic leukocytosis）之常見原因，下列何者錯誤？",35,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-111-1-basic-medicine-051","下列藥物和作用機轉之配對，何者錯誤？",51,111,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-112-1-basic-medicine-015","作夢通常發生於那一個睡眠階段？",15,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-2-basic-medicine-013","耳石復位術（epley maneuver）經由改變頭部動作的方向，可以緩解良性陣發性姿勢暈眩（benign paroxysmal positional vertigo），此動作主要是恢復下列何者功能？",13,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-basic-medicine-017","關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",17,114,3,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-106-1-basic-medicine-061","Ondansetron 之臨床適應症為：",61,106,"2026-09-04",1788510727606]