[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":61},"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":12},"nurse-112-2-基礎醫學-001","nurse-112-2-basic-medicine-001",112,2,1,"總膽管是由那兩者匯聚形成？",{"A":15,"B":16,"C":17,"D":18},"左肝管與右肝管","總肝管與胰管","膽囊管與胰管","總肝管與膽囊管","D",null,[],"本題考點在於膽道系統的解剖匯流路徑。依肝外膽道解剖，左肝管與右肝管先匯合成總肝管（common hepatic duct），總肝管再與來自膽囊的膽囊管（cystic duct）匯合形成總膽管（common bile duct），故總膽管由總肝管與膽囊管匯聚而成，選D。A左右肝管匯成的是總肝管而非總膽管；C膽囊管與胰管並不直接匯合；B總肝管與胰管的匯合處在更遠端，胰管（Wirsung管）是與總膽管會合於肝胰壺腹（Vater壺腹），而非構成總膽管本身，故均排除。","膽道走向可串成一條線記憶：左右肝管→總肝管→（加膽囊管）→總膽管→與主胰管會合於肝胰壺腹（ampulla of Vater）→經歐迪氏括約肌（sphincter of Oddi）開口於十二指腸大乳頭。膽囊管的Heister螺旋瓣調節膽汁進出膽囊。記憶口訣「左右合總肝，再納膽囊成總膽，末端會胰入十二指腸」。可連結膽結石阻塞部位（總膽管結石致阻塞性黃疸）與ERCP路徑一併複習。",[25,27,29,31],{"term":26,"count":12},"肝外膽道解剖",{"term":28,"count":12},"總肝管",{"term":30,"count":12},"膽囊管",{"term":32,"count":12},"總膽管匯流",[34,37,42,47,52,57],{"webId":35,"stem":36,"number":11,"year":10,"session":11},"nurse-112-2-basic-medicine-002","下列何神經興奮可使膀胱壁之迫尿肌收縮、尿道內括約肌舒張？",{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-112-3-basic-medicine-048","有關病毒造成的無症狀感染，下列敘述何者正確？",48,3,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-113-2-basic-medicine-042","對抗病菌後死亡的嗜中性白血球（neutrophil），會由何種細胞清除，以維持組織恆定？",42,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-3-basic-medicine-040","下列何者為人源性單株抗體（ humanized monoclonal antibody），用於免疫抑制誘導治療（induction immunosuppressant therapy）？",40,114,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-106-2-basic-medicine-014","支配骨骼肌的運動神經元細胞體是位於脊髓的何處？",14,106,{"webId":58,"stem":59,"number":40,"year":60,"session":11},"nurse-107-2-basic-medicine-048","40 歲女性，有全身疲倦、輕度發燒及關節僵硬，特別是清晨起床時，左右手指及肘關節。抽血檢查發現有類風濕性因子（rheumatoid factor）。這位女性最有可能罹患下列何者疾病？",107,"2026-09-04",1788510746153]