[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-112-1-基礎醫學-029","nurse-112-1-basic-medicine-029",112,1,29,"關於多囊性卵巢症候群（Polycystic ovarian syndrome）之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"病人常會有月經異常，慢性不排卵及不孕","主要病因為雌性激素過多","病理下，病人卵巢中有許多囊泡","病人肥胖及糖尿病的風險增高","B",null,[],"本題考點在於多囊性卵巢症候群（PCOS）的病因辨識。錯誤敘述為 B「主要病因為雌性激素過多」。依 PCOS 病生理，其核心為胰島素阻抗與高雄性素（androgen 過多）造成濾泡發育停滯、慢性不排卵，並非雌性激素過多，故 B 為錯誤敘述而入選。考點在於確認其餘皆正確：A 慢性不排卵導致月經異常與不孕，屬典型表現；C 卵巢因濾泡無法成熟排出而累積多個小囊泡，超音波呈「珍珠項鍊」樣；D 因合併胰島素阻抗，肥胖與第二型糖尿病風險升高。三者皆為正確描述，唯 B 對病因描述有誤。","PCOS 診斷用 Rotterdam 準則三取二：稀發或無排卵、高雄性素表現（多毛、痤瘡）、超音波多囊卵巢形態。機轉關鍵是胰島素阻抗刺激卵巢與腎上腺分泌雄性素，並使 LH\u002FFSH 比值上升。記憶點：PCOS 是「雄性素多、胰島素阻抗」，而非雌性素過多。可連結代謝症候群與不孕症治療（如 metformin、clomiphene）複習。",[25,28,30,32],{"term":26,"count":27},"胰島素阻抗",3,{"term":29,"count":11},"多囊性卵巢症候群 PCOS",{"term":31,"count":11},"高雄性素",{"term":33,"count":11},"慢性不排卵",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-1-basic-medicine-030","下列何種內分泌疾病主因不是腦下垂體前葉的問題造成？",30,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-112-3-basic-medicine-026","下列何者不是動脈粥狀硬化（arteriosclerosis）的高危險因子？",26,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-020","下列那個腦區與吞嚥的訊息傳導最為直接相關？",20,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-114-3-basic-medicine-018","當腎臟分泌的氫離子與磷酸氫根結合後排出體外，血漿的淨反應為何？",18,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-1-basic-medicine-072","在幼童常見造成細菌性腦膜炎的主要致病原為何？",72,106,{"webId":60,"stem":61,"number":42,"year":62,"session":48},"nurse-107-2-basic-medicine-026","關於紅血球的敘述，下列何者錯誤？",107,"2026-09-04",1788510740722]