[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-048":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":27},"nurse-110-2-基礎醫學-048","nurse-110-2-basic-medicine-048",110,2,48,"下列那一種關節炎是好發於年輕男性的薦腸骨關節及 HLA-B27 呈陽性？",{"A":15,"B":16,"C":17,"D":18},"黏連性脊椎關節炎（ankylosing spondyloarthritis）","類風濕性關節炎（rheumatoid arthritis）","退化性關節炎（degenerative arthritis）","痛風性關節炎（gouty arthritis）","A",null,[],"本題考點在血清陰性脊椎關節病變的辨識。好發於年輕男性、侵犯薦腸關節(sacroiliac joint)、且HLA-B27陽性率高者,為黏連性(僵直性)脊椎關節炎(ankylosing spondylitis),屬血清陰性(類風濕因子陰性)脊椎關節病,故選A。B類風濕性關節炎好發中年女性、對稱侵犯手部小關節、類風濕因子多陽性;C退化性關節炎與年齡磨損、負重大關節相關;D痛風性關節炎因尿酸結晶沉積、常急性發作於大腳趾。故符合者為僵直性脊椎關節炎。","血清陰性脊椎關節病(HLA-B27相關)包含僵直性脊椎炎、反應性關節炎(Reiter)、乾癬性關節炎、發炎性腸病相關關節炎,共同點為RF陰性、侵犯中軸與附著點(enthesitis)、薦腸關節炎。AS影像見竹節樣脊椎(bamboo spine),下背晨僵活動後改善。可連結虹彩炎併發症與抗TNF生物製劑治療。對比RA為對稱周邊小關節加骨侵蝕。",[25,28,30,32],{"term":26,"count":27},"僵直性脊椎關節炎",1,{"term":29,"count":27},"HLA-B27",{"term":31,"count":27},"薦腸關節",{"term":33,"count":27},"血清陰性脊椎關節病",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-basic-medicine-049","治療青光眼的藥物中，下列何者是藉由直接作用於膽鹼性受體（cholinergic receptor）而降低眼壓？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-111-1-basic-medicine-065","在淋巴結的濾泡（follicle）所聚集的細胞，會產生什麼特殊蛋白質？",65,111,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-112-1-basic-medicine-029","關於多囊性卵巢症候群（Polycystic ovarian syndrome）之敘述，下列何者錯誤？",29,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-027","由巴雷特氏食道（Barrett’s esophagus）惡性化產生的食道癌，下列何者最常見？",27,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-basic-medicine-031","下列藥物中，何者為前驅藥物（prodrug）需要體內酵素代謝才會產生活性，但有些人可能因其代謝酵素活性較低，而使得該藥物之藥效減弱？",31,114,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-106-1-basic-medicine-075","近年來，由於醫學發達，器官移植的可行性大為提高。下列何種病毒是可藉由輸血感染，尤其是在腎臟、骨髓移植後，接受免疫抑制治療時，更易再度活化？",75,106,"2026-09-04",1788510727724]