[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-111-1-基礎醫學-046","nurse-111-1-basic-medicine-046",111,1,46,"下列有關妊娠滋養層疾病（Gestational trophoblastic disease）之敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"主要常見有葡萄胎、侵襲性葡萄胎和絨毛膜癌","絕大多數會製造人類絨毛膜性腺激素（human Chorionic Gonadotropin, hCG）","完全型葡萄胎是二倍體，而部分型葡萄胎是三倍體","部分型葡萄胎轉變為絨毛膜癌之機會比完全型葡萄胎高","D",null,[],"本題考點為妊娠滋養層疾病（GTD）各型別的特性，須選錯誤敘述。臨床事實上，完全型葡萄胎（complete mole）進展為絨毛膜癌的風險明顯高於部分型葡萄胎（partial mole），因此 D 說「部分型轉絨毛膜癌機會比完全型高」方向相反，為錯誤選項，選 D。A 正確，GTD 主要涵蓋葡萄胎、侵襲性葡萄胎與絨毛膜癌。B 正確，滋養細胞會分泌 hCG，臨床以 hCG 作為診斷與追蹤指標。C 正確，完全型多為二倍體（46,XX，父源），部分型多為三倍體（69,XXX\u002FXXY，多一套父源）。故唯有 D 敘述與臨床風險相反。","對比記憶表：完全型葡萄胎—無胎兒組織、瀰漫性絨毛水腫、46,XX（空卵受精後父源複製）、hCG 很高、惡性風險較高（約 15–20% 侵襲、少數絨毛膜癌）；部分型葡萄胎—常有胎兒或胎兒組織、局部水腫、三倍體、惡性風險低（約 \u003C5%）。追蹤核心是連續監測血中 β-hCG 至正常並維持，期間避孕。絨毛膜癌對化療（如 methotrexate）反應佳。口訣：「完全型＝父源全套＝更兇」。",[25,28,30,32],{"term":26,"count":27},"hCG",3,{"term":29,"count":11},"妊娠滋養層疾病",{"term":31,"count":11},"完全型與部分型葡萄胎",{"term":33,"count":11},"倍體數(二倍體\u002F三倍體)",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-047","下列何者不是引起快速進行（新月形）腎小球腎炎[Rapidly progressive （crescentic） glomerulonephritis] 的原因？",47,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-013","下列有關呼吸窘迫症候群之敘述，何者錯誤？",13,112,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-112-3-basic-medicine-007","下列何者不會通過肝門（porta hepatis）？",7,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-basic-medicine-005","在人類胚胎期，下列何種激素最可能直接刺激外生殖構造發育為男性？",5,114,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-115-2-basic-medicine-009","下列何者分支出滋養胰臟的主要血管？",9,115,2,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-106-2-basic-medicine-073","關於病毒逃避免疫攻擊的機制，下列敘述何者錯誤？",73,106,"2026-09-04",1788510733090]