[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-112-2-基礎醫學-010","nurse-112-2-basic-medicine-010",112,2,10,"軟腦膜（pia mater）在脊髓兩側伸出一韌帶附著到硬腦膜（dura mater），此韌帶為：",{"A":15,"B":16,"C":17,"D":18},"項韌帶（nuchal ligament）","黃韌帶（ligamentum flavum）","齒狀韌帶（denticulate ligament）","翼韌帶（alar ligament）","C",null,[],"本題考點在於脊髓被膜的固定韌帶構造。依脊髓解剖，軟腦膜（pia mater）在脊髓左右兩側向外延伸出成對的三角形突起，穿過蛛網膜下腔附著到硬腦膜（硬脊膜）內面，藉此把脊髓懸吊、固定於椎管中央、防止晃動，此構造為齒狀韌帶（denticulate ligament），故選C。A項韌帶為頸後正中的棘上韌帶延伸、屬脊柱韌帶；B黃韌帶連接相鄰椎弓板；D翼韌帶連接齒突與枕骨髁、穩定寰樞關節，三者皆為骨關節韌帶，與脊髓被膜固定無關，故排除。","脊髓三層被膜由內而外為軟脊膜、蛛網膜、硬脊膜。齒狀韌帶由軟脊膜特化而來，兩側各約21對齒狀突附著硬脊膜，功能是固定脊髓於腦脊髓液中懸浮的位置。臨床上齒狀韌帶是脊髓手術定位前後根與判別脊髓側面的重要標誌。記憶口訣「軟膜長齒，兩側掛牆（硬膜）」。可連結終絲（filum terminale）固定脊髓下端與腰椎穿刺安全平面（L3-4以下）一併複習。",[25,28,30,32],{"term":26,"count":27},"軟脊膜",3,{"term":29,"count":11},"齒狀韌帶",{"term":31,"count":11},"脊髓固定構造",{"term":33,"count":34},"脊髓被膜",1,[36,40,45,48,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-basic-medicine-011","下列何者不是長時間的肌肉活動後，肌纖維中常見的代謝物質？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-113-1-basic-medicine-007","下列何者最可能同時降低動脈血壓波振幅（arterial pulse wave）與動脈血壓波速度（pulse wave velocity）？",7,113,{"webId":46,"stem":47,"number":34,"year":44,"session":27},"nurse-113-3-basic-medicine-001","大轉子（greater trochanter）位於下列那塊骨骼？",{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-114-3-basic-medicine-049","以蟲媒為傳染媒介的病毒，下列何者配對錯誤？",49,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-2-basic-medicine-023","因自體免疫而破壞所有腎上腺皮質組織時，下列何者生合成受影響？",23,106,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-107-2-basic-medicine-057","下列抗血小板凝集藥物中，何者之作用機制為抑制磷酸雙酯酶（phosphodiesterase）？",57,107,"2026-09-04",1788510746227]