[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-022","nurse-113-2-basic-medicine-022",113,2,22,"肝衰竭引發腹部腫大，下列敘述何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"常合併凝血功能障礙","血漿中白蛋白通常是正常的","常合併腹水","常見原因是肝硬化","B",null,[],"本題考點在於肝衰竭導致腹水的病生理，屬反向題（問最不適當）。依肝功能生理，肝臟是合成白蛋白的主要器官，肝衰竭時白蛋白合成下降造成低白蛋白血症，血漿膠體滲透壓下降而形成腹水，故「血漿中白蛋白通常是正常的」敘述錯誤，選 B。A 正確：肝也合成多數凝血因子，衰竭常合併凝血功能障礙。C 正確：門脈高壓加低白蛋白使腹水為典型表現。D 正確：肝硬化是肝衰竭與腹水最常見的原因。","腹水機轉雙主線：門脈高壓（靜水壓上升）＋低白蛋白（膠體滲透壓下降），再加 RAAS 活化保鈉水。白蛋白半衰期約 20 天，故急性肝損傷初期白蛋白可能尚未明顯下降，但慢性肝硬化必見低下。臨床評估腹水常算血清-腹水白蛋白梯度（SAAG），≥1.1 g\u002FdL 指向門脈高壓。",[25,28,31,33],{"term":26,"count":27},"膠體滲透壓",8,{"term":29,"count":30},"低白蛋白血症",5,{"term":32,"count":11},"肝衰竭",{"term":34,"count":35},"門脈高壓與腹水",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-113-2-basic-medicine-023","下列何者與即發型過敏反應關聯性最小？",23,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-114-1-basic-medicine-019","當肱骨（humerus）的骨幹發生骨折，最可能直接傷及那一條手臂的神經？",19,114,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-114-3-basic-medicine-013","與脂肪組織中促進脂肪分解（lipolysis）作用，下列何者最為相關？",13,3,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-106-1-basic-medicine-061","Ondansetron 之臨床適應症為：",61,106,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-107-2-basic-medicine-025","下列何種狀況有助於治療男性勃起（erection）障礙？",25,107,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-108-2-basic-medicine-059","靜脈注射 adenosine 可治療急性上心室（supraventricular）心律不整，主要作用機制為何？",59,108,"2026-09-04",1788510754064]