[{"data":1,"prerenderedAt":59},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":29,"lastmod":58},"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":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":11},"nurse-112-1-基礎醫學-001","nurse-112-1-basic-medicine-001",112,1,"腦下腺腫瘤影響視覺功能時，下列何處最可能受壓迫？",{"A":14,"B":15,"C":16,"D":17},"視丘","眼神經","視交叉","初級視覺皮質","C",null,[],"本題考點在於腦下腺腫瘤壓迫視覺路徑的解剖位置。腦下腺（腦垂體）位於蝶鞍內，其正上方緊鄰視交叉（optic chiasm），故腫瘤向上生長最先壓迫視交叉，導致雙顳側偏盲，答案選C。眼神經（B，指視神經）位於視交叉前方，不在腦下腺正上方，非最先受壓處；視丘（A）位置較後上方，與腦下腺不相鄰；初級視覺皮質（D）在枕葉，遠離腦下腺。考點在於辨識腦下腺與視交叉的毗鄰關係，及其造成「雙顳側偏盲」的典型視野缺損。","解剖記憶：蝶鞍內腦下腺→正上方視交叉，故垂體瘤典型表現為bitemporal hemianopsia（雙顳側偏盲），因來自兩眼鼻側視網膜的交叉纖維受壓。視覺路徑：視網膜→視神經→視交叉→視束→外側膝狀體→視放射→枕葉視覺皮質。壓迫位置不同，視野缺損型態不同，是神經眼科定位重點。",[24,26,27],{"term":25,"count":11},"腦下腺解剖位置",{"term":16,"count":11},{"term":28,"count":11},"雙顳側偏盲",[30,34,38,43,48,53],{"webId":31,"stem":32,"number":33,"year":10,"session":11},"nurse-112-1-basic-medicine-002","脊柱側面觀的外形敘述，下列何者正確？",2,{"webId":35,"stem":36,"number":37,"year":10,"session":33},"nurse-112-2-basic-medicine-048","下列病毒感染與其所引起疾病之配對關係，何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-113-1-basic-medicine-042","下列那個酵素主要負責B細胞的體細胞超突變（somatic hypermutation）？",42,113,{"webId":44,"stem":45,"number":46,"year":47,"session":33},"nurse-114-2-basic-medicine-040","一位乳癌患者經化療藥物治療後，產生嚴重心臟毒性，最可能是使用下列何種抗癌藥物？",40,114,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-106-1-basic-medicine-044","下列何者為前列腺癌最常發生之部位？",44,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-1-basic-medicine-078","常發生於夏季的登革熱，其症狀可類似感冒，亦可嚴重至休克出血，其傳播途徑主要由下列那一種途徑？",78,107,"2026-09-04",1788510740461]