[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-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-113-2-基礎醫學-021","nurse-113-2-basic-medicine-021",113,2,21,"下列何者與營養不良性鈣化（dystrophic calcification）最不相關？",{"A":15,"B":16,"C":17,"D":18},"動脈粥狀硬化血管壁鈣質沉積","胰臟炎周邊脂肪組織鈣質沉積","高血鈣導致腎臟鈣質沉積","心臟瓣膜受損發生鈣質沉積","C",null,[],"本題考點在於營養不良性鈣化（dystrophic calcification）與轉移性鈣化的區分，屬反向題。依病理定義，營養不良性鈣化發生於受損或壞死組織，且「血鈣正常」；轉移性鈣化則是高血鈣時鈣沉積於正常組織。選項 C「高血鈣導致腎臟鈣質沉積」血鈣異常升高，屬轉移性鈣化，與 dystrophic 最不相關，故選 C。A 動脈粥狀硬化斑塊、B 胰臟炎脂肪壞死皂化、D 受損心臟瓣膜的鈣沉積，皆是局部組織受損而血鈣正常，均屬營養不良性鈣化。","一句話分辨：看血鈣。血鈣正常＋組織壞死＝dystrophic；血鈣升高＝metastatic。metastatic 常見於副甲狀腺亢進、惡性腫瘤蝕骨、維生素 D 過量、腎衰竭，好發於胃黏膜、腎、肺、血管等排酸或高鹼組織。胰臟炎脂肪壞死的鈣皂是經典 dystrophic 例子。",[25,28,30,32],{"term":26,"count":27},"營養不良性鈣化",1,{"term":29,"count":27},"轉移性鈣化",{"term":31,"count":27},"血鈣正常 vs 升高",{"term":33,"count":27},"脂肪壞死皂化",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-basic-medicine-018","耳下腺導管（parotid duct）開口於口腔何處的黏膜？",18,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-012","下列何者是肌肉收縮過程中、短時間（數毫秒內）提供能量的最主要來源？",12,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-basic-medicine-060","下列何種抗胃潰瘍藥物有抑制肝臟細胞色素 P450（cytochrome P450）的作用？",60,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-024","於月經週期中，何時期黃體素之分泌達最高值？",24,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-058","下列何種藥物屬於腸刺激或腸興奮劑，可作為瀉劑？",58,108,"2026-09-04",1788510754044]