[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-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":11},"nurse-114-2-基礎醫學-029","nurse-114-2-basic-medicine-029",114,2,29,"小腦天幕疝脫（transtentorial herniation），顳葉內側緣被擠壓時，下列何種變化最少見？",{"A":15,"B":16,"C":17,"D":18},"腦壓上升","腦萎縮","瞳孔放大","視覺皮質缺血","B",null,[],"本題考點在於小腦天幕疝脫的病理後果。本題為反向題,問變化最少見者為 B 腦萎縮。依病生理,天幕疝脫是急性顱內壓升高將顳葉鉤回擠入天幕裂孔的過程,腦萎縮是慢性退化性變化,與此急性事件不相符,故最少見,選 B。A 腦壓上升本是疝脫的成因與結果,常見;C 疝出組織壓迫第三對腦神經(動眼神經)造成同側瞳孔放大,是典型徵象;D 受壓與後大腦動脈受阻可致枕葉視覺皮質缺血。故最少見者為 B。","定位徵象:鉤回疝脫壓迫動眼神經→同側瞳孔放大、對光反射消失;壓迫大腦腳→對側偏癱(或 Kernohan 現象致同側偏癱假性定位);後大腦動脈受壓→枕葉梗塞。急性疝脫是神經外科急症,與慢性腦萎縮的機轉完全不同。",[25,27,30,32],{"term":26,"count":11},"顱內壓升高",{"term":28,"count":29},"小腦天幕疝脫",1,{"term":31,"count":29},"動眼神經受壓",{"term":33,"count":29},"後大腦動脈缺血",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-basic-medicine-030","痛風為尿酸鈉結晶沉積於關節或附近組織造成發炎反應，關於痛風的臨床表現下列何者正確？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-basic-medicine-026","下列何種疾病會出現 Barts 氏血紅素（Hb Barts）？",26,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-basic-medicine-020","下列自主神經傳導物質接受器之作用，何者會引起皮膚及腹腔內臟的血管收縮？",20,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-basic-medicine-058","下列關於利尿劑的敘述，何者錯誤？",58,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-basic-medicine-022","包圍周邊神經軸突的髓鞘（myelin sheath），主要組成為何？",22,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-basic-medicine-056","下列何種藥物不用於治療帕金森氏症？",56,109,"2026-09-04",1788510758767]