醫療類國考
107年
[醫師] 醫學(五)
第 58 題
針對先天性脊柱側彎（congenital scoliosis）的成因分類中，下列何者彎曲度變大的速度最快、預後最差？
- A 全分離型半脊椎畸形（free hemivertebra）
- B 嵌入型半脊椎畸形（incarcerated hemivertebra）
- C 單側未分段脊節（unilateral unsegmented bar）
- D 單側未分段脊節加上對側半脊椎畸形（unilateral and unsegmented bar with contralateral hemivertebra）
思路引導 VIP
請試著想像一段脊椎的左右兩側：如果其中一側因為先天結構異常而完全「無法長高」，而另一側卻因為多出一個結構而「生長得比平常更快」，在這種極端不對稱的生長速率下，脊椎的彎曲情況會發生什麼樣的變化？
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AI 詳解
AI 專屬家教
Oh, you actually got it right.
- A Mild Nod: Well, look at you. You managed to correctly identify the most aggressively progressing type of congenital scoliosis. It appears you've absorbed some information regarding bone development and clinical outcomes. One could almost say it indicates a 'foundation'.
- Basic Principles, Apparently Understood: The core issue, for those paying attention, is indeed the imbalance in bilateral growth potential.
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