[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-029":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-029","nurse-112-2-basic-medicine-029",112,2,29,"食道腺癌（Esophageal Adenocarcinoma）與下列何者的關係最為密切？",{"A":15,"B":16,"C":17,"D":18},"食用含亞硝酸鹽（nitrosamines）的食物","長期胃食道逆流（gastroesophageal reflux）","食用被黴菌污染的食物","人類乳突瘤病毒（HPV）感染","B",null,[],"本題考點在於食道腺癌（esophageal adenocarcinoma）的主要危險因子。依腫瘤病理,長期胃食道逆流使下段食道鱗狀上皮反覆受胃酸刺激,發生腸上皮化生形成巴瑞特食道(Barrett esophagus),為食道腺癌的主要前驅病變,故選 B。A 亞硝胺類食物與 D 人類乳突瘤病毒、以及吸菸喝酒,主要與食道「鱗狀細胞癌」相關;C 黴菌污染食物(如黃麴毒素)主要連結肝細胞癌,均非食道腺癌最密切的成因。","食道癌兩大組織型鑑別:鱗狀細胞癌(好發中上段,與菸酒、亞硝胺、熱燙飲食相關)與腺癌(好發下段近賁門,循逆流→巴瑞特食道→異型增生→腺癌路徑)。記憶:GERD＋Barrett＝腺癌。巴瑞特食道需內視鏡追蹤監測異型增生。可連結胃食道逆流的病生理與質子幫浦抑制劑治療一併複習。",[25,28,30,32],{"term":26,"count":27},"腸上皮化生",3,{"term":29,"count":11},"胃食道逆流",{"term":31,"count":11},"巴瑞特食道",{"term":33,"count":34},"食道腺癌",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-basic-medicine-030","下列關於帕金森氏症的敘述何者錯誤？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-113-1-basic-medicine-026","缺鐵性貧血（iron deficiency anemia）的紅血球，其形態有何特徵？",26,113,{"webId":46,"stem":47,"number":48,"year":44,"session":27},"nurse-113-3-basic-medicine-020","有關脂肪乳化（emulsification）的敘述，下列何者正確？",20,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-115-1-basic-medicine-018","下列那一結構可增加小腸內表面積，提高吸收效率？",18,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-basic-medicine-042","何謂波雷特氏食道（Barrett esophagus）？",42,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-basic-medicine-076","下列何者不屬於表淺性黴菌病（superficial mycosis）？",76,107,"2026-09-04",1788510746379]