[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-024","nurse-114-3-basic-medicine-024",114,3,24,"心肌梗塞後的病理變化，在多久時間內，不論肉眼或光學顯微鏡下，都沒有明顯變化？",{"A":15,"B":16,"C":17,"D":18},"12 小時後","4 小時內","1 天後","7 天後","B",null,[],"本題考點在於心肌梗塞後心肌壞死的時序性病理變化。急性心肌梗塞後最初約4小時內,不論肉眼或光學顯微鏡下心肌都尚無明顯可辨的變化(僅電子顯微鏡或組織化學可見早期缺血跡象),故選B『4小時內』。約12至24小時(A、C)才逐漸出現肉眼蒼白、鏡下凝固性壞死與嗜酸性變、核消失;約1至3天出現大量嗜中性球浸潤;7天後(D)進入巨噬細胞清除與肉芽組織修復期,皆已有明顯變化,故非本題所指的『無變化』時段。","梗塞病理時序記憶軸:\u003C4小時(無變化)→4–12小時(開始凝固性壞死、水腫)→1–3天(嗜中性球浸潤)→3–7天(巨噬細胞清除、心壁最脆、易破裂)→1–2週(肉芽組織)→數週後(纖維化疤痕)。臨床上早期靠心電圖與心肌旋轉蛋白(troponin)診斷,而非病理形態,呼應本題『早期無形態變化』的重點。",[25,28,31,34],{"term":26,"count":27},"凝固性壞死",5,{"term":29,"count":30},"心肌梗塞病理時序",2,{"term":32,"count":33},"缺血早期無形態變化",1,{"term":35,"count":33},"組織修復期",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-3-basic-medicine-025","下列何者是最常見的惡性淋巴瘤（malignant lymphoma）？",25,{"webId":42,"stem":43,"number":44,"year":45,"session":30},"nurse-115-2-basic-medicine-021","一名 20 歲男性，由於車禍導致腿部骨折，以石膏固定傷肢。在骨折癒合期間，肌肉量會減少。這是下列何種類型的細胞適應性反應？",21,115,{"webId":47,"stem":48,"number":49,"year":50,"session":33},"nurse-106-1-basic-medicine-065","關於經過多次疫苗注射後，所產生的免疫反應下列敘述何者正確？",65,106,{"webId":52,"stem":53,"number":54,"year":55,"session":30},"nurse-107-2-basic-medicine-023","下列何因素可抑制腦下腺分泌生長激素（growth hormone）？",23,107,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-108-2-basic-medicine-067","預防白喉可注射何種疫苗？",67,108,{"webId":62,"stem":63,"number":44,"year":64,"session":33},"nurse-110-1-basic-medicine-021","下列何者在小腸液中的含量最低？",110,"2026-09-04",1788510761132]