[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-028":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-028","nurse-113-2-basic-medicine-028",113,2,28,"生骨性（osteoblastic）骨轉移，最常見於下列何種腫瘤？",{"A":15,"B":16,"C":17,"D":18},"前列腺癌","乳癌","大腸癌","肺癌","A",null,[],"本題考點在於骨轉移的成骨型（osteoblastic）與溶骨型的腫瘤分布。依腫瘤病理，攝護腺癌的骨轉移以成骨性（osteoblastic）病灶為典型代表，影像上呈高密度硬化灶，鹼性磷酸酶常上升，故選 A。B 乳癌骨轉移多為混合型或溶骨型；C 大腸癌與 D 肺癌的骨轉移則以溶骨型（osteolytic）為主，破壞骨質、易致高血鈣與病理性骨折，較非成骨型代表。","記憶：成骨型骨轉移＝攝護腺癌（PSA、ALP 上升、硬化灶）；溶骨型代表＝多發性骨髓瘤、腎細胞癌、肺癌、甲狀腺癌。乳癌可兩型皆有。成骨型雖骨密度增加，骨質結構其實紊亂脆弱。臨床追蹤攝護腺癌骨轉移常用骨掃描與 PSA。",[25,28,30,33],{"term":26,"count":27},"攝護腺癌",3,{"term":29,"count":11},"鹼性磷酸酶",{"term":31,"count":32},"成骨型骨轉移",1,{"term":34,"count":32},"溶骨型骨轉移對比",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-2-basic-medicine-029","醛固酮分泌腺瘤（aldosterone-secreting adenoma）產生原發性醛固酮過多症（hyperaldosteronism）會造成下列那一種症候群？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-basic-medicine-025","下列何種血管炎會造成主動脈（aorta）及其主要分支的發炎狹窄，可能導致上肢摸不到脈搏，因而又稱為無脈症（pulseless disease）？",25,114,{"webId":46,"stem":47,"number":48,"year":44,"session":27},"nurse-114-3-basic-medicine-019","關於氣體擴散（diffusion）的描述，下列何者正確？",19,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-1-basic-medicine-067","大量產生腫瘤壞死因子-α（TNF-α）時不會引起下列何病症？",67,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-031","有關鐵代謝之敘述，下列何者正確？",31,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-065","培養無致病性的肺炎雙球菌時，添加已死亡之致病性肺炎雙球菌的何種物質，會使其成為有致病性的細菌？",65,108,"2026-09-04",1788510754119]