[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-011","nurse-114-3-basic-medicine-011",114,3,11,"關於史達林力（Starling forces）在腳踝扭傷時所造成的水腫時的變化，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"組織間液蛋白的滲透壓（π IF ）增加，血漿蛋白造成的滲透壓（π C ）也增加","組織間液蛋白的滲透壓（π IF ）降低，血漿蛋白造成的滲透壓（π C ）增加","組織間液蛋白的滲透壓（π IF ）增加，血漿蛋白造成的滲透壓（π C ）降低","組織間液蛋白的滲透壓（π IF ）降低，血漿蛋白造成的滲透壓（π C ）也降低","C",null,[],"本題考點在於發炎性水腫時Starling力的變化方向。腳踝扭傷屬急性發炎,微血管通透性增加,血漿蛋白(尤其白蛋白)漏出至組織間液:使組織間液膠體滲透壓(π_IF)上升,同時血管內蛋白流失使血漿膠體滲透壓(π_C)下降。兩者變化都促使液體滯留組織間隙而形成水腫,故選C。A誤將π_C也標為增加、B把兩者方向對調、D將π_IF也標為下降,皆與蛋白外漏的實際方向不符,故錯。","淨過濾=[(P_C−P_IF)−σ(π_C−π_IF)]。發炎水腫的核心機轉是通透性上升(σ下降、蛋白外漏),讓原本把水留在血管內的π_C變弱、把水拉向組織的π_IF變強,兩股力量同向促進外滲。可對比:肝硬化低白蛋白是π_C下降、心衰是P_C上升、淋巴阻塞是π_IF累積,四種水腫機轉一起比較最清楚。",[25,28,31,33],{"term":26,"count":27},"膠體滲透壓",8,{"term":29,"count":30},"Starling力",2,{"term":32,"count":30},"微血管通透性",{"term":34,"count":35},"發炎性水腫",1,[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-3-basic-medicine-012","下列何者是肌肉收縮過程中、短時間（數毫秒內）提供能量的最主要來源？",12,{"webId":42,"stem":43,"number":27,"year":44,"session":30},"nurse-115-2-basic-medicine-008","下列那個唾液腺的腫瘤，最可能壓迫到顏面神經（facial nerve）？",115,{"webId":46,"stem":47,"number":48,"year":49,"session":35},"nurse-106-1-basic-medicine-052","局部麻醉劑使用在發炎組織時其藥效降低，最主要的原因為何？",52,106,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-107-2-basic-medicine-010","關於氣管（trachea）的敘述，下列何者正確？",10,107,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-108-2-basic-medicine-054","下列何種藥物可減少糖分的吸收？",54,108,{"webId":61,"stem":62,"number":27,"year":63,"session":35},"nurse-110-1-basic-medicine-008","下列關於內分泌細胞的敘述，何者錯誤？",110,"2026-09-04",1788510761010]