[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-026":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-026","nurse-113-2-basic-medicine-026",113,2,26,"下列造成血小板減少的原因中，何者最可能發現骨髓的巨核細胞（megakaryocyte）減少？",{"A":15,"B":16,"C":17,"D":18},"再生不良性貧血（aplastic anemia）","免疫性血小板減少性紫斑症（immune thrombocytopenic purpura）","血栓性血小板減少性紫斑症（thrombotic thrombocytopenic purpura）","溶血性尿毒症候群（hemolytic uremic syndrome）","A",null,[],"本題考點在於區分血小板減少是「生成不足」還是「周邊破壞」。依血液病理，再生不良性貧血（aplastic anemia）是骨髓造血幹細胞衰竭，全血球減少且骨髓巨核細胞（megakaryocyte）明顯減少，屬生成不足，故選 A。B 免疫性血小板減少性紫斑症（ITP）、C 血栓性血小板減少性紫斑症（TTP）、D 溶血性尿毒症候群（HUS）皆為周邊破壞或消耗增加，骨髓巨核細胞反而正常或代償性增多。","判讀口訣：巨核細胞少＝生成問題（骨髓衰竭、化療、浸潤）；巨核細胞多或正常＝周邊破壞（ITP 免疫破壞、TTP\u002FHUS 微血管病性消耗）。TTP 記 ADAMTS13 缺乏致 vWF 大分子堆積；HUS 常見於志賀毒素大腸桿菌感染。aplastic anemia 的特徵是「乾骨髓」全系列低下。",[25,28,30,32],{"term":26,"count":27},"再生不良性貧血",1,{"term":29,"count":27},"骨髓巨核細胞減少",{"term":31,"count":27},"生成不足 vs 周邊破壞",{"term":33,"count":27},"ITP\u002FTTP\u002FHUS",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-basic-medicine-027","由巴雷特氏食道（Barrett’s esophagus）惡性化產生的食道癌，下列何者最常見？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-basic-medicine-023","KIT基因突變是下列那種腫瘤最常見的分子變化？",23,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-017","關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",17,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-basic-medicine-065","關於經過多次疫苗注射後，所產生的免疫反應下列敘述何者正確？",65,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-029","若潮氣容積（tidal volume）為 450 毫升，解剖性死腔為 150 毫升，每分鐘的呼吸頻率為 12 次，則每分鐘的肺泡通氣量為多少毫升？",29,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-063","關於 corticosteroid 的臨床用途，下列何者錯誤？",63,108,"2026-09-04",1788510754088]