[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-111-1-基礎醫學-003","nurse-111-1-basic-medicine-003",111,1,3,"內側蹄系（medial lemniscus）與下列何訊息傳遞有關？",{"A":15,"B":16,"C":17,"D":18},"視覺","本體覺","痛覺","聽覺","B",null,[],"本題考點為感覺傳導路徑的神經解剖。內側蹄系（medial lemniscus）是背柱—內側蹄系路徑的一段，負責傳遞精細觸覺、震動覺與本體覺（肢體位置感）的訊息，由脊髓背柱上行、於延腦交叉後經內側蹄系上傳至視丘，故選 B。A 視覺經視神經與視放射，C 痛覺與溫覺走脊髓視丘徑（外側系統），D 聽覺經外側蹄系（lateral lemniscus）上傳，皆非內側蹄系的功能。名稱上「內側蹄系」對應本體與精細觸覺，「外側蹄系」對應聽覺，需明確區辨。","兩大體感上行系統對比記憶：背柱—內側蹄系系統傳「精細觸覺、震動、本體覺」，特徵是先上行後交叉（延腦交叉）；前外側系統（脊髓視丘徑）傳「痛、溫、粗觸」，特徵是進脊髓後即交叉。名稱陷阱——medial lemniscus（內側蹄系）走本體覺，lateral lemniscus（外側蹄系）走聽覺，一字之差、功能全異。臨床連結：背柱受損（如脊髓癆、B12 缺乏）會喪失位置感與震動覺，出現閉眼站不穩（Romberg 陽性）。",[25,28,30,31],{"term":26,"count":27},"內側蹄系",2,{"term":29,"count":11},"背柱—內側蹄系路徑",{"term":16,"count":11},{"term":32,"count":11},"外側蹄系聽覺",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-004","肺臟內進行氣體交換的呼吸膜（respiratory membrane）構造，主要是由那兩種細胞與結締組織共同構成？",4,{"webId":39,"stem":40,"number":41,"year":10,"session":27},"nurse-111-2-basic-medicine-020","口渴時，腎小管增加水分再吸收的機轉為下列何者？",20,{"webId":43,"stem":44,"number":45,"year":46,"session":27},"nurse-112-2-basic-medicine-014","生長激素對胰島素代謝有何影響？",14,112,{"webId":48,"stem":49,"number":50,"year":51,"session":12},"nurse-113-3-basic-medicine-012","車禍造成大腦枕葉損傷，最可能造成下列何種症狀？",12,113,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-115-1-basic-medicine-016","就多數情況而言，下列有關右肺肋面（costal surface）裂隙的敘述，何者錯誤？",16,115,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-106-2-basic-medicine-030","去玉山旅遊時，由於氧分壓不足，因而引起呼吸加快，在此情況下，何種生理反應最可能伴隨發生？",30,106,"2026-09-04",1788510732677]