[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-112-1-基礎醫學-028","nurse-112-1-basic-medicine-028",112,1,28,"兒童之後天性心臟病最常見者為下列那一種？",{"A":15,"B":16,"C":17,"D":18},"川崎氏病（Kawasaki disease）","心肌梗塞（myocardial infarction）","高血壓心臟病變（hypertensive cardiomyopathy）","細菌性心內膜炎（bacteria endocarditis）","A",null,[],"本題考點在於兒童後天性（非先天）心臟病的流行病學。川崎氏病（Kawasaki disease）是好發於五歲以下幼童的急性全身性血管炎，會侵犯冠狀動脈造成動脈瘤，在已開發國家已取代風濕熱成為兒童後天性心臟病最常見原因，選 A。考點在於排除其他：B 心肌梗塞屬成人動脈粥狀硬化的後果，兒童極罕見；C 高血壓心臟病變同為成人長期高血壓所致，兒童少見；D 細菌性心內膜炎雖可發生於兒童，但多見於已有先天性心臟病或瓣膜異常者，發生率遠低於川崎氏病。故兒童後天性心臟病之首為川崎氏病。","川崎氏病診斷準則包含發燒≥5 天加上五項中四項：雙側結膜充血、口腔黏膜變化（草莓舌）、四肢末端變化（脫皮）、多形性皮疹、頸部淋巴結腫大。治療以免疫球蛋白（IVIG）加阿斯匹靈降低冠狀動脈瘤風險。記憶點：兒童＝川崎；成人後天心臟病才想到缺血性。可連結全身性血管炎分類複習。",[25,27,29,31],{"term":26,"count":11},"川崎氏病",{"term":28,"count":11},"兒童後天性心臟病",{"term":30,"count":11},"冠狀動脈瘤",{"term":32,"count":11},"全身性血管炎",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-029","關於多囊性卵巢症候群（Polycystic ovarian syndrome）之敘述，下列何者錯誤？",29,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-025","最常引起心肌炎（myocarditis）的原因為何？",25,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-019","平靜呼氣中止後，正常吸入一口空氣到肺臟，此吸入的氣體體積稱為：",19,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":42},"nurse-114-3-basic-medicine-017","關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",17,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-1-basic-medicine-071","治療 A 族溶血性鏈球菌的感染病，以下列何種抗生素為優先？",71,106,{"webId":60,"stem":61,"number":41,"year":62,"session":48},"nurse-107-2-basic-medicine-025","下列何種狀況有助於治療男性勃起（erection）障礙？",107,"2026-09-04",1788510740700]