[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-114-1-基礎醫學-022","nurse-114-1-basic-medicine-022",114,1,22,"下列何者與血液的高凝血狀態易形成血栓的關聯性最小？",{"A":15,"B":16,"C":17,"D":18},"長期臥床","口服避孕藥之使用","抗磷脂質症候群","von Willebrand疾病","D",null,[],"本題考點在於高凝血狀態（易形成血栓）的危險因子辨識，為反向題，須找出關聯性最小者。von Willebrand 疾病是因 von Willebrand 因子缺乏或功能異常導致的遺傳性出血性疾病，臨床表現為出血傾向而非血栓，與高凝血狀態關聯最小，故 D 為本題答案。A 長期臥床造成血流淤滯，符合 Virchow 三要素而促進血栓；B 口服避孕藥使凝血因子上升、增加靜脈血栓風險；C 抗磷脂質症候群為典型的後天性血栓形成傾向疾病，故三者皆與高凝血狀態相關。","血栓形成看 Virchow 三要素：血流淤滯（臥床、心房顫動）、內皮損傷、血液高凝性（口服避孕藥、懷孕、惡性腫瘤、抗磷脂質症候群、Factor V Leiden、蛋白 C／S 缺乏）。von Willebrand 疾病恰恰相反，屬出血性疾病（黏膜出血、月經量多、術後滲血），因 vWF 兼具攜帶第八凝血因子與促血小板黏附功能，缺乏反致止血困難。反向題辨識關鍵：出血 vs 血栓方向相反。",[25,28,30,31],{"term":26,"count":27},"Virchow 三要素",3,{"term":29,"count":11},"高凝血狀態",{"term":17,"count":11},{"term":32,"count":11},"von Willebrand 疾病",[34,38,42,48,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-114-1-basic-medicine-023","KIT基因突變是下列那種腫瘤最常見的分子變化？",23,{"webId":39,"stem":40,"number":41,"year":10,"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":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-basic-medicine-013","自律神經系統的副交感神經節後神經元（postganglionic parasympathetic neuron）所分泌的神經傳遞物質為何？",13,115,2,{"webId":49,"stem":50,"number":11,"year":51,"session":11},"nurse-107-1-basic-medicine-001","下列有關皮膚表皮的敘述，何者正確？",107,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-108-1-basic-medicine-045","下列關於急性淋巴母細胞性白血病（Acute lymphoblastic leukemia\u002Flymphoma）的臨床與預後的敘述，何者錯誤？",45,108,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-109-1-basic-medicine-079","下列關於肺炎披衣菌（Chlamydophila pneumoniae）的敘述何者錯誤？",79,109,"2026-09-04",1788510756402]