[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-022","nurse-112-2-basic-medicine-022",112,2,22,"多發性骨髓瘤（Multiple Myeloma）引起的類澱粉沉積症（Amyloidosis），下列何者為類澱粉來源的蛋白質前趨物質？",{"A":15,"B":16,"C":17,"D":18},"血清類澱粉 A 蛋白質（serum amyloid A protein）","免疫球蛋白輕鏈（immunoglobulin light chain）","貝他 2-小球蛋白（beta2-microglobulin）","前白蛋白（transthyreitin\u002Fprealbumin）","B",null,[],"本題考點在於類澱粉沉積症（amyloidosis）依前趨蛋白的分型。依病因分類，多發性骨髓瘤是漿細胞惡性增生、大量產生單株免疫球蛋白，其過剩的免疫球蛋白輕鏈（immunoglobulin light chain）錯誤折疊沉積形成 AL 型類澱粉，故選 B。A 血清類澱粉 A 蛋白（SAA）是慢性發炎相關的 AA 型前趨物；C 貝他 2-小球蛋白與長期洗腎患者的類澱粉沉積有關；D 前白蛋白（transthyretin）對應家族性或老年性 ATTR 型，皆非多發性骨髓瘤的來源。","類澱粉分型記憶：AL＝免疫球蛋白 Light chain（漿細胞病\u002F骨髓瘤），AA＝慢性發炎 Acute-phase SAA，ATTR＝Transthyretin（遺傳\u002F老年），β2M＝洗腎相關。共通點是蛋白質形成 β 摺板結構、剛果紅染色在偏光顯微鏡下呈蘋果綠雙折射。可連結多發性骨髓瘤的 CRAB 特徵（高血鈣、腎衰、貧血、骨病變）一併複習。",[25,28,30,32],{"term":26,"count":27},"類澱粉沉積症",1,{"term":29,"count":27},"多發性骨髓瘤",{"term":31,"count":27},"免疫球蛋白輕鏈",{"term":33,"count":27},"AL amyloid",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-basic-medicine-023","粥狀硬化（Atherosclerosis）引起的動脈瘤最常發生於何處？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-113-1-basic-medicine-019","肝胰壺腹是由下列那兩者會合而形成？",19,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-basic-medicine-013","食用含有河豚毒素（tetrodotoxin）的生魚片之後出現肌肉麻痺的現象，此現象為何種通道被阻斷所致？",13,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-115-1-basic-medicine-011","下列那兩種內分泌器官，其主體是由神經組織以及腺體組織共同發育組合形成？",11,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-basic-medicine-035","肺循環血栓栓塞（pulmonary thromboembolism）主要是塞在何部位？",35,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-basic-medicine-069","IgE 抗體會與其高親和力受體 FcεRI 相結合來誘發過敏反應，而 FcεRI 受體不表現在下列何種細胞表面？",69,107,"2026-09-04",1788510746336]