[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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-114-3-基礎醫學-008","nurse-114-3-basic-medicine-008",114,3,8,"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？",{"A":15,"B":16,"C":17,"D":18},"胸骨右側的第二肋間","胸骨左側的第二肋間","胸骨右側的第五肋間","胸骨左側的第五肋間","A",null,[],"本題考點在於心臟瓣膜聽診的體表投影位置。主動脈瓣關閉音(第二心音的主動脈成分)聽診最佳處為胸骨右緣第二肋間(主動脈瓣區),因血流方向朝右上傳導,故選A。胸骨左緣第二肋間(B)為肺動脈瓣區,聽肺動脈瓣關閉音;胸骨左緣第五肋間近鎖骨中線(D)為二尖瓣區(心尖);而三尖瓣區位於胸骨左緣第四至第五肋間。選項C胸骨右緣第五肋間並非標準瓣膜聽診區,故三者皆非主動脈瓣最佳聽診點。","口訣「APE To Man」對應瓣膜聽診五區:Aortic(右二肋間)、Pulmonic(左二肋間)、Erb's point(左三肋間)、Tricuspid(左四至五肋間)、Mitral(左五肋間鎖骨中線)。要注意瓣膜的解剖位置與聽診位置並不相同,聽診點是依血流傳導方向下游取音,這是考題最愛的陷阱。",[25,27,30],{"term":26,"count":11},"第二心音",{"term":28,"count":29},"主動脈瓣聽診區",1,{"term":31,"count":29},"心臟瓣膜體表投影",[33,37,43,48,53,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-114-3-basic-medicine-009","下列那個器官同時接受腸繫膜上動脈與腸繫膜下動脈的血液供應？",9,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-115-2-basic-medicine-005","胸骨左側第 2 肋間最靠近下列心臟的那個瓣膜？",5,115,2,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-106-1-basic-medicine-049","藥物的生體可用率（bioavailability）不受下列何種因素影響？",49,106,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-107-2-basic-medicine-007","下列器官何者接受腸繫膜下動脈的血液供應？",7,107,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-108-2-basic-medicine-051","下列安眠藥中，何者不具有抗痙攣或肌肉鬆弛之特性，且長期使用較不易產生耐受性（tolerance）？",51,108,{"webId":59,"stem":60,"number":40,"year":61,"session":29},"nurse-110-1-basic-medicine-005","下列關於紅血球（erythrocyte; RBC）的敘述，何者正確？",110,"2026-09-04",1788510760990]