[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":11},"nurse-112-3-基礎醫學-023","nurse-112-3-basic-medicine-023",112,3,23,"下列那一種疾病最常發生非化膿性增殖性滑液膜炎（proliferative synovitis）？",{"A":15,"B":16,"C":17,"D":18},"類風濕性關節炎（rheumatoid arthritis）","骨關節炎（osteoarthritis）","脫臼（dislocation）","骨質疏鬆（osteoporosis）","A",null,[],"本題考點在於好發非化膿性增殖性滑液膜炎的疾病。依病理學，類風濕性關節炎是自體免疫性疾病，關節滑液膜受免疫攻擊後產生慢性增殖性、非化膿性的滑液膜發炎，形成血管翳（pannus）侵蝕軟骨與骨，故選 A。B 骨關節炎屬退化性關節病變，以軟骨磨損與骨質增生為主，非增殖性滑液膜炎。C 脫臼是關節結構移位的機械性傷害，無此病理。D 骨質疏鬆是骨量減少的代謝性骨病，不涉及滑液膜增殖。故非化膿性增殖性滑液膜炎最典型見於類風濕性關節炎。","類風濕性關節炎的核心病灶就是「增殖性滑液膜炎＋血管翳」：慢性免疫發炎使滑液膜增厚、長出富含發炎細胞的肉芽組織（pannus），逐步吃掉關節軟骨與骨頭，造成對稱性小關節破壞與變形。因非細菌感染，故為「非化膿性」。對比骨關節炎是「磨」出來的退化、化膿性關節炎才有膿。記法：RA＝免疫發炎「長肉芽」啃關節，是增殖性、非化膿性滑液膜炎的代表。",[25,27,30,33],{"term":26,"count":11},"類風濕性關節炎",{"term":28,"count":29},"自體免疫",2,{"term":31,"count":32},"增殖性滑液膜炎",1,{"term":34,"count":32},"血管翳",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-024","有關唐氏症（Down syndrome）的敘述，下列何者錯誤？",24,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-113-2-basic-medicine-020","下列那個腦區與吞嚥的訊息傳導最為直接相關？",20,113,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-1-basic-medicine-014","下列何者屬於彈性動脈？",14,114,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-115-2-basic-medicine-012","肌肉收縮的滑動絲（sliding filament）模型描述的是那兩種蛋白間的交互作用？",12,115,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-107-1-basic-medicine-006","下列何者的管壁不具平滑肌？",6,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-108-1-basic-medicine-040","下列何種因素最可能延緩傷口的癒合？",40,108,"2026-09-04",1788510744074]