[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-030":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-114-2-基礎醫學-030","nurse-114-2-basic-medicine-030",114,2,30,"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？",{"A":15,"B":16,"C":17,"D":18},"好發於生育年齡女性","有高尿酸血症的人大部分都會有痛風","好發於肢體近端大關節","可能造成腎臟病變的併發症","D",null,[],"本題考點在於痛風的臨床流行病學特徵。依痛風病生理,尿酸鹽結晶沉積除引起關節炎外,也可沉積於腎臟造成尿酸性腎病變或尿路結石,故 D「可能造成腎臟病變的併發症」正確,選 D。A 錯誤,痛風好發於中年以上男性及停經後女性,而非生育年齡女性(雌激素有促尿酸排泄的保護作用);B 錯誤,高尿酸血症者僅少部分會發作痛風,多數無症狀;C 錯誤,急性痛風最典型好發於肢體遠端小關節,尤其第一蹠趾關節(足痛風),而非近端大關節。故正解為 D。","記憶:痛風首發最常在大腳趾(podagra)。雌激素促進尿酸排泄,故女性多在停經後才發病。高尿酸血症與痛風非等號,只有結晶引發發炎才是痛風。腎併發症含尿酸結石與慢性尿酸鹽腎病變,長期控制血中尿酸為關鍵。",[25,28,30,32],{"term":26,"count":27},"痛風",1,{"term":29,"count":27},"尿酸鈉結晶",{"term":31,"count":27},"第一蹠趾關節",{"term":33,"count":27},"尿酸性腎病變",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-basic-medicine-031","巨環類抗生素（macrolides）最不易引起下列何種副作用？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-115-1-basic-medicine-027","下列何種病毒不會造成慢性肝炎？",27,115,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-106-1-basic-medicine-021","下列何者並不屬於自主神經系統之神經節？",21,106,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-107-1-basic-medicine-059","下列有關 Mannitol 之敘述，何者錯誤？",59,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-basic-medicine-023","下列何種激素由腺體分泌後，可被轉變為更具活性的形式？",23,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-basic-medicine-057","Lorcaserin是透過刺激下列何種受體去抑制食慾，而達到減重效果？",57,109,"2026-09-04",1788510758775]