[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-040","nurse-111-1-basic-medicine-040",111,1,40,"子宮頸癌最可能與何者病毒感染有關？",{"A":15,"B":16,"C":17,"D":18},"人類乳突病毒（HPV）","疱疹病毒（HSV）","Epstein-Barr 病毒（EBV）","巨細胞病毒（CMV）","A",null,[],"本題考點在於子宮頸癌的主要致病病毒。子宮頸癌與人類乳突病毒(HPV)持續感染關係最密切,尤其高危險型 HPV-16、18 是絕大多數子宮頸癌的病因,故選 A。B 單純疱疹病毒(HSV)過去曾被懷疑但非主要致病因子。C EB 病毒與鼻咽癌、伯基特淋巴瘤、部分胃癌相關,非子宮頸癌主因。D 巨細胞病毒(CMV)與子宮頸癌無明確因果關係。HPV 致癌機轉明確、疫苗亦以此為標的,故正解為 A。","高危型 HPV 的 E6、E7 致癌蛋白分別使抑癌蛋白 p53 降解、抑制 Rb 功能,解除細胞週期煞車而導致惡性轉化,是分子致病核心。HPV 疫苗(二價、四價、九價)可預防高危型感染,加上子宮頸抹片與 HPV 檢測的篩檢,大幅降低子宮頸癌發生率,屬公衛與臨床重要延伸。病毒與癌症的關聯對照可一併記憶:HPV→子宮頸癌;HBV\u002FHCV→肝癌;EBV→鼻咽癌與淋巴瘤;HTLV-1→成人 T 細胞白血病;HHV-8→卡波西氏肉瘤。",[25,28,31,33],{"term":26,"count":27},"子宮頸癌",4,{"term":29,"count":30},"人類乳突病毒 HPV",2,{"term":32,"count":30},"E6\u002FE7 致癌蛋白",{"term":34,"count":11},"HPV-16\u002F18",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-1-basic-medicine-041","下列何種腦瘤最常見於小於 5 歲兒童的小腦？",41,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-112-1-basic-medicine-007","下列何者的脈搏，易於手腕外側感觸？",7,112,{"webId":46,"stem":47,"number":11,"year":44,"session":48},"nurse-112-3-basic-medicine-001","下列何者收縮可伸展肘關節（elbow joint）？",3,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-3-basic-medicine-049","下列有關腸病毒的描述何者錯誤？",49,113,{"webId":55,"stem":56,"number":48,"year":57,"session":30},"nurse-115-2-basic-medicine-003","下列髖骨區域，何者最粗壯且足以承接坐姿時之體重？",115,{"webId":59,"stem":60,"number":61,"year":62,"session":30},"nurse-106-2-basic-medicine-067","下列何種細胞激素，可刺激嗜酸性白血球分泌媒介物，引起氣喘？",67,106,"2026-09-04",1788510733029]