[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-027","nurse-113-2-basic-medicine-027",113,2,27,"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？",{"A":15,"B":16,"C":17,"D":18},"腺癌（adenocarcinoma）","惡性黑色素瘤（malignant melanoma）","鱗狀細胞癌（squamous cell carcinoma）","基底細胞癌（basal cell carcinoma）","A",null,[],"本題考點在於巴雷特氏食道惡性化的組織型態。依消化道病理，巴雷特氏食道（Barrett's esophagus）是慢性胃食道逆流使食道下段鱗狀上皮化生為柱狀（腸型）上皮，此化生-異生-癌變路徑最終產生的是腺癌（adenocarcinoma），故選 A。B 惡性黑色素瘤源自黑色素細胞、C 鱗狀細胞癌與吸菸飲酒等相關且好發於食道中上段、D 基底細胞癌好發於皮膚，皆非 Barrett 化生的典型結果。","食道癌雙型對比：上中段多鱗狀細胞癌（菸酒、熱飲），下段近胃食道交界多腺癌（GERD、Barrett、肥胖）。Barrett 的關鍵是「腸上皮化生」出現杯狀細胞，需內視鏡監測異生程度。西方國家食道腺癌比例上升即與逆流、肥胖盛行有關。",[25,28,30,33],{"term":26,"count":27},"腸上皮化生",3,{"term":29,"count":11},"腺癌",{"term":31,"count":32},"巴雷特氏食道",1,{"term":34,"count":32},"胃食道逆流 GERD",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-2-basic-medicine-028","生骨性（osteoblastic）骨轉移，最常見於下列何種腫瘤？",28,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-basic-medicine-024","下列何者並非鉛中毒的常見表現？",24,114,{"webId":46,"stem":47,"number":48,"year":44,"session":27},"nurse-114-3-basic-medicine-018","當腎臟分泌的氫離子與磷酸氫根結合後排出體外，血漿的淨反應為何？",18,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-1-basic-medicine-066","有關免疫球蛋白 IgG 的敘述，下列何者正確？",66,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-030","成年男性進行呼吸量測試發現肺活量（vital capacity）為兩公升，第一秒用力呼氣容積（forced expiratory volume in 1 s）為 85%，此時可能為：",30,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-064","服用下列何種藥物，須注意病人的視力是否有異常？",64,108,"2026-09-04",1788510754115]