[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-114-1-基礎醫學-029","nurse-114-1-basic-medicine-029",114,1,29,"乳癌病患出現橘皮（peau d'orange）現象，與下列何者最有關？",{"A":15,"B":16,"C":17,"D":18},"不典型乳管增生（atypical ductal hyperplasia）","發炎性癌 （inflammatory carcinoma）","BRCA1基因突變","乳管擴張","B",null,[],"本題考點在於乳癌橘皮現象的成因辨識。依病理機轉，橘皮（peau d'orange）是腫瘤細胞阻塞真皮層淋巴管、造成皮膚水腫，而毛囊處因固定於下方組織相對凹陷，形成如橘皮般的外觀，此最典型見於發炎性癌，故選 B。A 不典型乳管增生是良性但風險上升的病變，不致淋巴阻塞；C BRCA1 突變是遺傳性乳癌的危險因子，屬基因層面而非此皮膚表徵成因；D 乳管擴張多與良性分泌物滯留有關，不造成橘皮，均非最相關。","發炎性癌臨床表現為乳房紅、腫、熱、皮膚增厚如橘皮，易被誤認為乳腺炎，但其本質是腫瘤廣泛侵犯真皮淋巴管，屬預後差的侵襲性乳癌。記憶要點：橘皮＝淋巴管阻塞＋皮膚水腫，只要看到紅腫合併橘皮外觀，應優先鑑別發炎性癌而非單純感染。",[25,27,29,31],{"term":26,"count":11},"發炎性乳癌",{"term":28,"count":11},"橘皮現象",{"term":30,"count":11},"真皮淋巴管阻塞",{"term":32,"count":11},"皮膚水腫",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-114-1-basic-medicine-030","庫賈氏病（Creutzfeldt-Jakob disease）最典型的病理變化為下列何者？",30,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-114-3-basic-medicine-026","家族腺瘤性瘜肉症（familial adenomatous polyposis）主要是因為那個基因產生突變所造成？",26,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-basic-medicine-020","下列那個腦區主要負責接收迷走神經傳入訊號，並調控嘔吐反應？",20,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-107-1-basic-medicine-008","有絲分裂時，那一時期染色體會排列在赤道板上？",8,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-1-basic-medicine-052","下列刺激胃腸蠕動的藥物中，何者的作用機轉為拮抗多巴胺 D 2 受體？",52,108,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-109-2-basic-medicine-006","消化道的梅氏神經叢（Meissner’s plexus）位於下列何處？",6,109,"2026-09-04",1788510756460]