[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-112-3-基礎醫學-025","nurse-112-3-basic-medicine-025",112,3,25,"最常引起心肌炎（myocarditis）的原因為何？",{"A":15,"B":16,"C":17,"D":18},"病毒（virus）","黴菌（fungus）","披衣菌（Chlamydiae）","立克次體（Richettsiae）","A",null,[],"本題考點在於心肌炎（myocarditis）最常見的病因。依病理學，心肌炎最常見的成因為病毒感染，尤以克沙奇病毒（Coxsackie B）為代表，其他如腺病毒、流感病毒等亦可致病，故選 A 病毒。B 黴菌感染多見於免疫低下者，屬少見原因。C 披衣菌與 D 立克次體雖可偶爾侵犯心肌，但遠非主要病因。故心肌炎的首要病因是病毒感染，病毒直接損傷心肌細胞或引發免疫媒介的心肌發炎。","病毒性心肌炎的機轉有二：病毒直接複製破壞心肌細胞，以及後續免疫反應攻擊受感染心肌造成持續發炎。克沙奇 B 病毒是經典元兇。臨床上可從輕微感冒後胸悶、心悸，惡化為心律不整、心衰竭甚至猝死，也是年輕人擴張型心肌病變的重要來源。記法：心肌炎首選病毒、病毒首選克沙奇 B。診斷靠心肌酶、心電圖變化與心臟磁振造影或心肌切片。",[25,28,30,32],{"term":26,"count":27},"心肌炎",1,{"term":29,"count":27},"病毒感染",{"term":31,"count":27},"克沙奇B病毒",{"term":33,"count":27},"病毒性心肌炎",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-3-basic-medicine-026","下列何者不是動脈粥狀硬化（arteriosclerosis）的高危險因子？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-basic-medicine-022","肝衰竭引發腹部腫大，下列敘述何者最不適當？",22,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-114-1-basic-medicine-016","下列何者不具支撐子宮（uterus）的功能？",16,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-basic-medicine-014","某病人接受頸部手術後，抱怨手術後食慾不佳、便秘症狀。上述症狀最可能是因為那一條神經受損所造成？",14,115,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-107-1-basic-medicine-008","有絲分裂時，那一時期染色體會排列在赤道板上？",8,107,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-108-1-basic-medicine-042","下列何種狀況與紅色梗塞關聯性最小？",42,108,"2026-09-04",1788510744090]