[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"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-023","nurse-113-3-basic-medicine-023",113,3,23,"微生物可能和癌症有關，下列敘述何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"Epstein-Barr virus（EBV）和勃氏淋巴瘤（Burkitt lymphoma）","幽門螺旋桿菌和胃的邊緣區型淋巴瘤（marginal zone lymphoma）","HTLV－1（human T－cell leukemia virus type 1）和慢性淋巴性白血病（chronic lymphocytic leukemia）","埃及血吸蟲（Schistosoma haematobium）和膀胱癌","C",null,[],"本題考點在於致癌微生物與相關腫瘤的正確配對,為反向題,要挑最不適當者。HTLV-1 造成的是「成人 T 細胞白血病\u002F淋巴瘤(adult T-cell leukemia\u002Flymphoma, ATLL)」,而非慢性淋巴性白血病(CLL),故 C 配對錯誤,為正解;CLL 屬 B 細胞源、與病毒感染無明確關聯。A 正確,EBV 與伯基特淋巴瘤(以及鼻咽癌、何杰金氏淋巴瘤)相關。B 正確,幽門螺旋桿菌長期感染與胃黏膜相關淋巴組織(MALT)的邊緣區型淋巴瘤及胃腺癌相關。D 正確,埃及血吸蟲慢性感染膀胱與鱗狀細胞型膀胱癌相關。掌握「HTLV-1→T 細胞白血病」這一專一配對,即可辨識 C 誤植為 B 細胞源的 CLL。","常考致癌微生物配對整理:EBV→伯基特淋巴瘤、鼻咽癌、何杰金氏淋巴瘤;HBV\u002FHCV→肝細胞癌;HPV(16、18 型)→子宮頸癌、口咽癌;HHV-8→卡波西氏肉瘤;HTLV-1→成人 T 細胞白血病\u002F淋巴瘤;幽門螺旋桿菌→胃腺癌與胃 MALT 淋巴瘤;埃及血吸蟲→膀胱鱗狀細胞癌;中華肝吸蟲→膽管癌。記憶要點:HTLV 名字裡的 T 就代表 T 細胞,配 CLL(B 細胞)必錯。這些關聯是理解感染相關致癌(慢性發炎、病毒致癌基因、免疫抑制)三大機制的臨床實例。",[25,28,30,32],{"term":26,"count":27},"HTLV-1",1,{"term":29,"count":27},"成人 T 細胞白血病\u002F淋巴瘤",{"term":31,"count":27},"致癌微生物配對",{"term":33,"count":27},"慢性淋巴性白血病為 B 細胞源",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-basic-medicine-024","下列何者不是慢性酗酒的常見後遺症？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-basic-medicine-020","下列那一種刺激會引起最多的唾液分泌？",20,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-115-1-basic-medicine-014","以聽診器聽取病人心跳時，下列那一個瓣膜關閉時產生第一心音？",14,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-basic-medicine-032","小腸上具備有免疫功能的細胞位在何處？",32,106,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-107-2-basic-medicine-076","下列何者不屬於表淺性黴菌病（superficial mycosis）？",76,107,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-109-1-basic-medicine-030","下列那個維生素（vitamin）會出現在乳糜微粒（chylomicron）中？",30,109,"2026-09-04",1788510751688]