[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-113-1-基礎醫學-019","nurse-113-1-basic-medicine-019",113,1,19,"肝胰壺腹是由下列那兩者會合而形成？",{"A":15,"B":16,"C":17,"D":18},"肝管與主胰管","肝管與副胰管","總膽管與主胰管","總膽管與副胰管","C",null,[],"本題考點在於肝胰壺腹（hepatopancreatic ampulla, Vater 壺腹）的組成管道。肝胰壺腹是總膽管（common bile duct）與主胰管（main pancreatic duct）在十二指腸壁內會合形成的共同通道，經 Oddi 括約肌開口於十二指腸大乳頭，故由總膽管與主胰管會合，選 C。A、B 選項用『肝管』有誤，肝管須先與膽囊管匯成總膽管後才參與壺腹；D 副胰管另有開口（小乳頭），非壺腹主要組成。故選 C。","膽胰管路徑記憶：左右肝管→總肝管，與膽囊管會合成總膽管；總膽管再與主胰管會合成肝胰壺腹，由 Oddi 括約肌控制排入十二指腸。副胰管多開口於較上方的小乳頭。臨床上壺腹或 Oddi 括約肌阻塞（如結石）可同時影響膽汁與胰液排放，導致膽胰逆流。",[25,28,30,31],{"term":26,"count":27},"肝胰壺腹",2,{"term":29,"count":27},"Oddi括約肌",{"term":17,"count":11},{"term":32,"count":11},"膽胰管解剖",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-1-basic-medicine-020","下列那一個內臟的位移痛（referred pain）出現在左手臂內側皮膚？",20,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-113-3-basic-medicine-016","當組織代謝活性（tissue metabolic activity）增加時不會引起下列何種反應？",16,3,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-114-2-basic-medicine-010","下列何者攜帶的神經纖維刺激耳下腺的分泌？",10,114,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-106-1-basic-medicine-008","次級卵母細胞於何時完成第二次減數分裂？",8,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-1-basic-medicine-052","下列何者是治療恐慌症（panic disorders）之首選用藥？",52,107,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-108-2-basic-medicine-006","下列有關肺部的敘述，何者正確？",6,108,"2026-09-04",1788510749532]