[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-114-2-基礎醫學-025","nurse-114-2-basic-medicine-025",114,2,25,"末期大腸直腸癌具有遠端器官的腫瘤轉移。下列何者是大腸直腸癌最常發生轉移的器官？",{"A":15,"B":16,"C":17,"D":18},"肝臟","胰臟","脾臟","心臟","A",null,[],"本題考點在於大腸直腸癌的轉移路徑與好發器官。依門脈循環解剖,大腸靜脈血經腸繫膜靜脈匯入門靜脈先流經肝臟,癌細胞隨血流最先被肝臟攔截並著床,故肝臟是大腸直腸癌最常見的遠端轉移器官,選 A。B 胰臟並非其主要轉移標的;C 脾臟因血流與免疫環境特殊,少見腫瘤轉移;D 心臟轉移極為罕見。血行性轉移次於肝臟者為肺臟。故正解為 A。","解剖決定轉移:消化道腫瘤循門脈系統先到肝(hepatic first-pass)。臨床追蹤 CEA 上升可提示復發或肝轉移,孤立性肝轉移在條件許可下可手術切除。相對地,下段直腸血流部分繞過門脈經下腔靜脈,故較易發生肺轉移。",[25,28,31,33],{"term":26,"count":27},"門脈循環",3,{"term":29,"count":30},"大腸直腸癌",1,{"term":32,"count":30},"血行性轉移",{"term":34,"count":30},"肝臟轉移",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"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,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-115-1-basic-medicine-022","關於慢性肉芽腫病（chronic granulomatous disease）的敘述，下列何者正確？",22,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-basic-medicine-016","三叉神經由下列何者表面鑽出？",16,106,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-107-1-basic-medicine-054","在耳鼻喉科與家醫科門診，針對過敏性鼻炎與氣喘患者，處方以 Zileuton 治療，此藥物主要抑制下列何種酵素？",54,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-108-2-basic-medicine-018","腦脊髓液是由何處產生？",18,108,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-109-2-basic-medicine-052","下列何種抗癌藥物，對細胞周期具有專一性作用？",52,109,"2026-09-04",1788510758732]