[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-029":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-113-3-基礎醫學-029","nurse-113-3-basic-medicine-029",113,3,29,"子宮肌腺症（adenomyosis）典型的表現，下列何者最恰當？",{"A":15,"B":16,"C":17,"D":18},"子宮肌肉層中發現子宮內膜組織","卵巢內有巧克力囊腫","子宮壁化膿","內膜增厚形成息肉","A",null,[],"本題考點在於子宮肌腺症(adenomyosis)的病理定義。子宮肌腺症是子宮內膜的腺體與間質異位長入子宮肌肉層(子宮肌層)內,造成子宮瀰漫性肥大、經痛與經血過多,故典型表現為「子宮肌肉層中發現子宮內膜組織」,選 A。B 卵巢內巧克力囊腫是子宮內膜異位症侵犯卵巢形成的內膜瘤(endometrioma),部位在卵巢而非子宮肌層,屬另一疾病表現。C 子宮壁化膿為感染性(如子宮肌炎\u002F膿瘍)表現,與肌腺症無關。D 內膜增厚形成息肉屬子宮內膜息肉或內膜增生,病變在內膜腔面而非肌層內。掌握「肌腺症＝內膜組織長進肌層」的核心定義即可辨識 A。","區分兩個常混淆的名詞:子宮肌腺症(adenomyosis)是內膜異位到「子宮肌層內」,子宮呈瀰漫對稱性增大、質地變硬,好發於經產、四十歲上下女性;子宮內膜異位症(endometriosis)則是內膜異位到「子宮以外」如卵巢(巧克力囊腫)、腹膜、輸卵管。兩者皆隨月經週期出血、造成經痛,但部位不同。與子宮肌瘤(平滑肌瘤)也需鑑別:肌瘤是界限清楚的良性平滑肌腫塊,肌腺症則界限不清、瀰漫浸潤。記憶:adeno=腺體(內膜)、myo=肌肉,合起來就是「內膜跑進肌肉」。",[25,28,30,32],{"term":26,"count":27},"子宮肌腺症",1,{"term":29,"count":27},"子宮肌層內異位內膜",{"term":31,"count":27},"與子宮內膜異位症區別",{"term":33,"count":27},"經痛與經血過多",[35,39,45,50,55,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-basic-medicine-030","甲狀腺乳突癌（papillary carcinoma），下列何者最少見？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-basic-medicine-026","3 歲男性，右側睪丸有一個腫瘤，抽血發現血清中的甲型胎兒蛋白（α -fetoprotein）異常升高，他的睪丸腫瘤最可能是那一種？",26,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-115-1-basic-medicine-020","下列那兩種神經膠細胞（glia cells）會形成髓鞘（myelin sheath）？",20,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-basic-medicine-038","有關法洛氏四重症（Tetralogy of Fallot）的病理變化，何者錯誤？",38,106,{"webId":56,"stem":57,"number":44,"year":58,"session":27},"nurse-108-1-basic-medicine-002","下列有關內分泌腺的敘述，何者正確？",108,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-109-1-basic-medicine-036","下列何者不是引發血管內靜水壓上升的原因？",36,109,"2026-09-04",1788510751733]