[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-113-1-基礎醫學-021","nurse-113-1-basic-medicine-021",113,1,21,"有關組織傷口癒合的敘述，下列何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"傷口感染是造成癒合延遲的重要因素","組織癒合過程易出現肉芽組織（granulation tissue）","使用類固醇抗發炎藥能有效抑制發炎並增進傷口癒合強度","糖尿病患因血液灌注不良引起傷口癒合異常","C",null,[],"本題考點在於影響傷口癒合的因素以及類固醇的作用。本題為反向題，最不適當敘述為 C『使用類固醇抗發炎藥能有效抑制發炎並增進傷口癒合強度』：類固醇雖能抑制發炎，但會同時抑制免疫、減少膠原蛋白合成與纖維母細胞活性，使傷口癒合『延遲』、抗張強度『下降』，並非增進癒合，故此敘述錯誤。A 傷口感染會延長發炎期、延遲癒合；B 增生期出現肉芽組織是正常癒合表現；D 糖尿病患因血管病變致灌注與供氧不良，確會造成癒合異常。故選 C。","傷口癒合三期：發炎期、增生期（肉芽與上皮化）、成熟重塑期。類固醇正因抑制發炎期的免疫細胞浸潤與後續膠原合成，反而妨礙癒合，臨床用藥時需權衡。影響癒合的負面因子可用『感染、缺血缺氧、糖尿病、營養不良、類固醇、高齡』一併記憶。此題陷阱在『抗發炎』被誤導為對癒合有利。",[25,28,30,32],{"term":26,"count":27},"肉芽組織",3,{"term":29,"count":11},"傷口癒合三期",{"term":31,"count":11},"類固醇延遲癒合",{"term":33,"count":11},"糖尿病傷口",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-basic-medicine-022","下列何者不是心因性休克病患常見的臨床表現？",22,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-113-3-basic-medicine-018","抗利尿激素（antidiuretic hormone）在下列那個腦區合成？",18,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-basic-medicine-012","鈣離子活化平滑肌細胞橫橋（cross-bridge）反應，下列何者為其主要作用？",12,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-basic-medicine-010","下列何者無軟骨結構？",10,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-054","在耳鼻喉科與家醫科門診，針對過敏性鼻炎與氣喘患者，處方以 Zileuton 治療，此藥物主要抑制下列何種酵素？",54,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-basic-medicine-008","下列何者分泌不足可能導致呆小症（cretinism）？",8,108,"2026-09-04",1788510749541]