[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-008":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-113-3-基礎醫學-008","nurse-113-3-basic-medicine-008",113,3,8,"下列有關肝小葉之敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"為肝臟之構造功能單位","主要由肝細胞以肝動脈為中心輻射狀排列組成","形狀約略成六角形","在其周圍有門脈三合體（portal triad）","B",null,[],"本題考點在於肝小葉的組織構造,為反向題,要挑出錯誤敘述。肝小葉是肝臟的基本構造與功能單位,肝細胞以「中央靜脈」為中心呈輻射狀排列,而非以肝動脈為中心,故 B 敘述錯誤,為正解。血流方向是由小葉周邊的門脈三合體流向中央靜脈,再匯入肝靜脈回心。A 正確,肝小葉確為肝的構造功能單位。C 正確,古典肝小葉在切面上略呈六角形。D 正確,六角形的每個角落有門脈三合體,由肝動脈分支、肝門靜脈分支與膽管三者組成。釐清「中央靜脈居中、門脈三合體在周邊」的空間關係,即可辨識 B 把中央靜脈誤植為肝動脈的錯誤。","肝臟血流雙供:約三分之二來自肝門靜脈(富營養、含腸道吸收物),三分之一來自肝動脈(富氧)。兩者在肝血竇混合後流經肝細胞板,經中央靜脈離開小葉。依代謝分區,靠近門脈三合體的第一區含氧高、主司糖質新生與氧化代謝,靠近中央靜脈的第三區缺氧,最易受缺血與中毒(如乙醯胺酚)損傷。相對於古典肝小葉以中央靜脈為中心,肝腺泡則以門脈三合體血流軸為中心,是理解代謝分區更實用的模型。",[25,28,31,33],{"term":26,"count":27},"肝小葉",2,{"term":29,"count":30},"中央靜脈",1,{"term":32,"count":30},"門脈三合體",{"term":34,"count":30},"肝血竇",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-basic-medicine-009","下列何者分泌內在因子（intrinsic factor），以協助維生素 B 12 之吸收？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-basic-medicine-005","巨噬細胞是由下列何者分化而成？",5,114,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-114-3-basic-medicine-049","以蟲媒為傳染媒介的病毒，下列何者配對錯誤？",49,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-2-basic-medicine-017","鈉鉀幫浦（sodium-potassium pump）運送鈉鉀離子的作用方式屬於下列何者？",17,106,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-107-2-basic-medicine-061","關於催產激素 oxytocin 的敘述，下列何者錯誤？",61,107,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-109-1-basic-medicine-015","下列何者為副交感神經節？",15,109,"2026-09-04",1788510751563]