[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-021":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-111-2-基礎醫學-021","nurse-111-2-basic-medicine-021",111,2,21,"下列何者不屬於急性風濕熱瓊斯氏標準（Jones criteria）的主要標準（major criteria）？",{"A":15,"B":16,"C":17,"D":18},"心臟炎（carditis）","邊緣性紅班（erythema marginatum）","白血球增多（leukocytosis）","多關節炎（polyarthritis）","C",null,[],"本題考點為急性風濕熱的瓊斯氏標準（Jones criteria）主要標準內容。依診斷準則，主要標準有五項：心臟炎、多關節炎、舞蹈症、皮下結節、邊緣性紅斑。白血球增多（leukocytosis）屬於次要標準中的發炎指標，並非主要標準，故選 C。A 心臟炎、B 邊緣性紅斑、D 多關節炎皆為主要標準，唯有白血球增多歸於次要標準（與發燒、關節痛、ESR\u002FCRP 上升同類），故選 C。","瓊斯標準診斷需符合前驅 A 群鏈球菌感染證據，加上兩個主要或一主要加兩次要標準。主要五項可用口訣「J♥NES」記憶：Joints（多關節炎）、♥（carditis 心臟炎）、Nodules（皮下結節）、Erythema marginatum（邊緣性紅斑）、Sydenham chorea（舞蹈症）。次要為發燒、關節痛、發炎指標上升與 PR 間期延長。心臟炎是決定長期預後的關鍵。",[25,28,30,32],{"term":26,"count":27},"瓊斯氏標準",1,{"term":29,"count":27},"急性風濕熱",{"term":31,"count":27},"主要與次要標準",{"term":33,"count":27},"A 群鏈球菌感染",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-basic-medicine-022","有關重症肌無力（myasthenia gravis）病人之敘述，下列何者正確？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-2-basic-medicine-018","尿素和下列那一種物質的累積會造成腎臟髓質組織間的高滲透度（ hyperosmolar medullary renal interstitium）？",18,112,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-113-1-basic-medicine-012","組成踝關節（ankle joint）的骨骼，除脛骨、腓骨之外還包括：",12,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-2-basic-medicine-010","下列何者攜帶的神經纖維刺激耳下腺的分泌？",10,114,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-106-1-basic-medicine-014","下列那一構造發生腫瘤時，經常會壓迫到顏面神經？",14,106,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-107-1-basic-medicine-048","下列那一個中樞神經系統部位是肌萎縮性側索硬化症（amyotrophic lateral sclerosis）的主要病變區？",48,107,"2026-09-04",1788510737164]