[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-111-1-基礎醫學-013","nurse-111-1-basic-medicine-013",111,1,13,"下列何者是位於迴腸最外層之結構？",{"A":15,"B":16,"C":17,"D":18},"漿膜層","黏膜層","黏膜下層","肌肉層","A",null,[],"本題考點在於消化道管壁的四層組織由內而外的排列順序。依組織學,消化道管壁由內向外依序為黏膜層、黏膜下層、肌肉層、漿膜層(或外膜),迴腸屬於腹膜內器官,表面覆有臟層腹膜構成的漿膜,故最外層為漿膜層,選 A。B 黏膜層是最內層,直接接觸腸腔內容物負責吸收,位置最內而非最外。C 黏膜下層在黏膜層之外,含血管、淋巴與神經叢(Meissner 叢),屬中間層。D 肌肉層由內環外縱平滑肌構成,負責蠕動,位於黏膜下層與漿膜層之間,並非最外。故正解為 A。","記憶口訣「黏、下、肌、漿」由內到外一路排。腹膜內器官(如空腸、迴腸、胃)最外層為漿膜(serosa,即臟層腹膜);而後腹腔或無腹膜覆蓋處(如食道、部分直腸)最外層則為外膜(adventitia),兩者差別是考試常設的陷阱。肌肉層在食道上段為骨骼肌、中下段漸為平滑肌,胃另有斜肌形成三層,可對比記憶。黏膜下神經叢(Meissner)調節分泌與局部血流,肌肉層間的肌間神經叢(Auerbach\u002FMyenteric)則調控蠕動,兩叢合稱腸神經系統。",[25,27,29,31],{"term":26,"count":11},"消化道管壁四層",{"term":28,"count":11},"漿膜層 serosa",{"term":30,"count":11},"腹膜內器官",{"term":32,"count":11},"組織學層次",[34,38,43,48,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-014","下列何者會發出滋養肺臟的支氣管動脈？",14,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-111-2-basic-medicine-030","Creutzfeldt-Jakob 病會造成大腦皮質及深部灰質的海綿狀變形（spongiform transformation），這種病的病因主要與下列何者有關？",30,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-112-2-basic-medicine-024","慢性肉芽腫發炎反應所導致的限制性心包炎，最常見的病原菌或病因是：",24,112,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-basic-medicine-022","下列何者不是造成血漿滲透壓下降的原因？",22,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-115-1-basic-medicine-026","下列何種疾病會出現 Barts 氏血紅素（Hb Barts）？",26,115,{"webId":60,"stem":61,"number":62,"year":63,"session":42},"nurse-106-2-basic-medicine-040","下列有關感染性單核球症（infectious mononucleosis）的敘述，何者錯誤？",40,106,"2026-09-04",1788510732774]