[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-113-1-基礎醫學-020","nurse-113-1-basic-medicine-020",113,1,20,"下列那一個內臟的位移痛（referred pain）出現在左手臂內側皮膚？",{"A":15,"B":16,"C":17,"D":18},"心臟（heart）","肺臟（lung）","肝臟（liver）","腎臟（kidney）","A",null,[],"本題考點在於內臟轉位痛（referred pain）的皮節對應規律。轉位痛源於內臟感覺神經與體表皮膚感覺神經傳入相同脊髓節段，大腦誤判為體表疼痛。心臟感覺傳入約在 T1–T5 節段，與左肩、左上臂內側及胸前的皮節重疊，故心肌缺血常出現左手臂內側轉位痛，選 A。B 肺臟、C 肝臟（多轉位至右肩）、D 腎臟（多轉位至腰背與腹股溝）的皮節對應區皆不在左手臂內側。故選 A。","轉位痛機轉：內臟與體表傳入纖維會聚於同一脊髓後角神經元（convergence-projection 學說），中樞較習慣體表訊號故投射為皮膚痛。經典對應：心臟→左胸與左臂內側（T1–T5）、橫膈與肝膽→右肩（C3–C5 經膈神經）、腎與輸尿管→腰腹與腹股溝。心肌梗塞的左臂痛即典型例證。",[25,27,29,31],{"term":26,"count":11},"內臟轉位痛",{"term":28,"count":11},"皮節與脊髓節段",{"term":30,"count":11},"會聚投射學說",{"term":32,"count":11},"心臟T1-T5",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-1-basic-medicine-021","有關組織傷口癒合的敘述，下列何者最不適當？",21,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-113-3-basic-medicine-017","一個 70 歲老人的心電圖（ECG）如下，他的心跳每分鐘約多少下？",17,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-basic-medicine-011","次級主動運輸（secondary active transport）的直接動力來自：",11,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-basic-medicine-009","下列何者位於環狀軟骨上方，能調節聲帶之緊張度？",9,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-053","Buspirone 用於廣泛性焦慮症（generalized anxiety disorder）之慢性治療（chronic treatment），是因為該藥主要作用於何種受體所致？",53,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-basic-medicine-007","有關竇狀隙（sinusoid）的敘述，下列何者錯誤？",7,108,"2026-09-04",1788510749536]