[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-114-3-基礎醫學-007","nurse-114-3-basic-medicine-007",114,3,7,"女性月經來潮（menstruation）時，子宮的那一層構造會剝落，造成月經出血？",{"A":15,"B":16,"C":17,"D":18},"子宮外膜（perimetrium）","子宮肌膜（myometrium）","子宮內膜的功能層（functional layer of endometrium）","子宮內膜的基底層（basal layer of endometrium）","C",null,[],"本題考點在於子宮內膜的分層與月經剝落的部位。子宮內膜分為表淺的功能層(functional layer)與深部的基底層(basal layer):功能層受動情素與黃體素調控而增厚,黃體萎縮、激素驟降時螺旋動脈收縮致缺血壞死而剝落出血,即月經,故選C。基底層(D)緊貼子宮肌膜、由基底動脈供血,月經時保留不剝落,並作為下一週期功能層再生的來源,故錯。子宮外膜(perimetrium,A)為漿膜層、子宮肌膜(myometrium,B)為平滑肌層,皆非內膜構造,與月經出血無關。","記憶要訣:功能層是「拋棄式」表層、基底層是「再生母株」。月經機轉本質是螺旋動脈對缺血敏感,激素撤退→血管收縮→功能層缺血壞死脫落。此分層概念也解釋為何過度搔刮傷及基底層會造成子宮內膜再生障礙(Asherman症候群),可與月經週期的增生期、分泌期一併複習。",[25,28,31,33],{"term":26,"count":27},"基底層",2,{"term":29,"count":30},"子宮內膜功能層",1,{"term":32,"count":30},"螺旋動脈",{"term":34,"count":30},"月經生理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-basic-medicine-008","想要聽清楚主動脈半月瓣（aortic semilunar valve）關閉的心音，要將聽診器置放於何處最佳？",8,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-basic-medicine-004","血漿（plasma）中下列何種蛋白質的含量降低時，會造成組織水腫（edema）？",4,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-basic-medicine-048","一位 18 歲男性病人右膝疼痛，影像醫學檢查發現右側股骨骺端有一個界線不清楚的溶骨性病灶，且在骨膜上有柯德曼三角形（Codman triangle）的特徵。切片下顯示有許多過染性（hyperchromatic），非典型的紡錘狀（spindle）細胞增生，偶爾可見有類骨質（osteoid）的基質和有絲分裂。它最有可能是何種腫瘤？",48,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-basic-medicine-006","心臟的電位傳導系統中，何構造位於冠狀竇開口處？",6,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-basic-medicine-050","下列何者不是使用嗎啡類藥物（opioids）常見之副作用？",50,108,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-basic-medicine-004","關於心臟腔室的敘述，下列何者錯誤？",110,"2026-09-04",1788510760973]