[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-010":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-112-3-基礎醫學-010","nurse-112-3-basic-medicine-010",112,3,10,"支配橫膈（diaphragm）的神經主要源自：",{"A":15,"B":16,"C":17,"D":18},"頸神經叢（cervical plexus）","臂神經叢（brachial plexus）","腰神經叢（lumbar plexus）","薦神經叢（sacral plexus）","A",null,[],"本題考點在於橫膈的神經支配來源。依神經解剖，橫膈由膈神經（phrenic nerve）支配，而膈神經主要源自頸神經叢的第三至第五頸神經（C3–C5），故選 A。臨床口訣「C3、4、5 keep the diaphragm alive」即描述此關係。B 臂神經叢（C5–T1）支配上肢肌肉，與橫膈無關。C 腰神經叢支配大腿前內側與腹壁下部。D 薦神經叢支配下肢後側與骨盆。三者都不負責橫膈運動，故橫膈的主要神經來源為頸神經叢發出的膈神經。","膈神經源自 C3–C5 這個高位頸髓節段，臨床意義重大：高位頸髓損傷（C3 以上）會癱瘓橫膈導致呼吸衰竭，需仰賴呼吸器；而 C5 以下損傷橫膈仍可運作、自主呼吸多可保留。記法「C3, 4, 5 keep the diaphragm alive」。膈神經同時傳遞橫膈與部分心包、膈胸膜的感覺，這也是膽囊或膈下刺激時會轉移痛到肩部（C3–C5 皮節）的解剖基礎。",[25,28,30,32],{"term":26,"count":27},"膈神經",2,{"term":29,"count":27},"頸神經叢",{"term":31,"count":27},"C3-C5",{"term":33,"count":34},"橫膈神經支配",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-011","細胞膜外側表面的盞醣（glycocalyx）最主要的功能為何？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-113-2-basic-medicine-007","下列何者將肝臟連接至前腹壁及橫膈？",7,113,{"webId":46,"stem":47,"number":34,"year":48,"session":34},"nurse-114-1-basic-medicine-001","心肌的肌內質網主要受何者刺激而釋放鈣離子？",114,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-115-1-basic-medicine-049","口腔內最常見的真菌感染是由下列何種菌屬引起？",49,115,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-106-2-basic-medicine-073","關於病毒逃避免疫攻擊的機制，下列敘述何者錯誤？",73,106,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-108-1-basic-medicine-027","高蛋白質且低碳水化合物的飲食，可以刺激胰島素（insulin）分泌，但不會造成低血糖的最可能原因為何？",27,108,"2026-09-04",1788510743957]