[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-026","nurse-112-2-basic-medicine-026",112,2,26,"容易引發血管內不正常血栓形成的因素不包括下列何者？",{"A":15,"B":16,"C":17,"D":18},"血管內皮細胞受損","Hageman 因子的缺乏","血液鬱滯或層流紊亂","高血液凝固性","B",null,[],"本題考點在於 Virchow 三要素——血栓形成的三大促成因素，屬反向題。依血栓生成理論，內皮受損、血流鬱滯或紊亂、血液高凝固性三者會促進病理性血栓，因此 A、C、D 皆屬危險因素；而 Hageman 因子（凝血因子 XII）為內在凝血途徑的啟動因子，其「缺乏」反而使凝血傾向下降、不利血栓形成，故不屬於促成因素，錯誤敘述為 B，選 B。此題易錯在把凝血因子一律當成促凝，需辨識「缺乏」與「過量」方向相反。","Virchow triad 記憶：損（endothelial injury）、滯（stasis）、凝（hypercoagulability）。有趣的是第 XII 因子雖啟動內在途徑，但先天缺乏者臨床少出血、甚至偏向血栓風險討論，故考點強調其缺乏不促進血栓。可連結深部靜脈栓塞（久臥、長途飛行的血流鬱滯）與遺傳性易栓症（如第五因子 Leiden 突變的高凝狀態）一併複習。",[25,28,31,33],{"term":26,"count":27},"Virchow 三要素",3,{"term":29,"count":30},"血栓形成",1,{"term":32,"count":30},"Hageman 因子(第 XII 因子)",{"term":34,"count":30},"高凝固性",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-basic-medicine-027","李先生因持續便血而至醫院看診，醫師為他做了大腸鏡切片發現是乙狀結腸癌（Sigmoid Colon Cancer），且肝臟有一可疑病灶。手術切除大腸與部分肝臟之後的病理診斷為分化差的腺癌（poorly-differentiated adenocarcinoma），分期為 T3N1M0。從這個診斷中可以得知下列那項資訊？",27,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-113-1-basic-medicine-023","下列那種遺傳性疾病的遺傳模式和其他選項不一樣？",23,113,{"webId":46,"stem":47,"number":48,"year":44,"session":27},"nurse-113-3-basic-medicine-017","一個 70 歲老人的心電圖（ECG）如下，他的心跳每分鐘約多少下？",17,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-115-1-basic-medicine-015","下列何者是供應下肢養分的最主要血管？",15,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-basic-medicine-039","心肌梗塞約在發生多久時，會在病灶中產生明顯纖維化？",39,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-basic-medicine-073","下列何種細菌較容易引起抗生素相關腹瀉（antibiotic-associated diarrhea）？",73,107,"2026-09-04",1788510746353]