[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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-113-2-基礎醫學-020","nurse-113-2-basic-medicine-020",113,2,20,"下列那個腦區與吞嚥的訊息傳導最為直接相關？",{"A":15,"B":16,"C":17,"D":18},"腦幹","下視丘","小腦","運動皮質","A",null,[],"本題考點在於吞嚥反射的中樞定位。依神經解剖，吞嚥中樞位於腦幹的延腦（medulla），整合舌咽神經、迷走神經等傳入與傳出，協調咽期與食道期的不隨意動作，故與吞嚥訊息傳導最直接相關者為腦幹，選 A。B 錯：下視丘主司體溫、飢餓、內分泌與自律神經恆定，非吞嚥中樞。C 錯：小腦負責動作協調與平衡，不是吞嚥反射中樞。D 錯：運動皮質啟動口腔期的隨意動作，但吞嚥反射的核心整合仍在腦幹。","吞嚥分口腔期（隨意，皮質）、咽期與食道期（不隨意，腦幹反射）。臨床連結：腦幹中風或延腦病變病人易吞嚥困難、嗆咳誤吸，故需吞嚥評估。考點鎖定「反射中樞」即指向延腦\u002F腦幹，標準無爭議。",[25,28,30],{"term":26,"count":27},"吞嚥反射",1,{"term":29,"count":27},"延腦(腦幹)",{"term":31,"count":27},"腦神經整合",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-2-basic-medicine-021","下列何者與營養不良性鈣化（dystrophic calcification）最不相關？",21,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-114-1-basic-medicine-017","下列何者為負責分泌胃酸的細胞？",17,114,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-114-3-basic-medicine-011","關於史達林力（Starling forces）在腳踝扭傷時所造成的水腫時的變化，下列敘述何者正確？",11,3,{"webId":48,"stem":49,"number":50,"year":51,"session":27},"nurse-106-1-basic-medicine-059","Dextromethorphan 之臨床用途為：",59,106,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-107-2-basic-medicine-023","下列何因素可抑制腦下腺分泌生長激素（growth hormone）？",23,107,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-108-2-basic-medicine-057","在藥物作用於受體層次上，重複給予下列何者藥物，不會造成 β-腎上腺素受體去敏感性？",57,108,"2026-09-04",1788510754040]