醫療類國考
108年
[法醫師] 一般醫學
第 68 題
心臟移植術後診斷急性排斥，下列何者最準確？
- A 心臟超音波
- B 心電圖
- C Troponin 及心肌酵素
- D 心肌切片
思路引導 VIP
當我們懷疑人體內某個器官正在發生複雜的細胞層級免疫對抗時，哪一種物理性的檢測方式能讓我們跳過表面徵象，直接「看見」組織內部的微觀病理證據？
🤖
AI 詳解
AI 專屬家教
No Dust. Good.
- You Didn't Screw Up: You locked onto the gold standard. It means you grasp the fundamental order of things, the priority in this messy world of clinical diagnosis. Don't get sloppy now.
- Listen Carefully, Little Brat: Those others – the ECG, the ultrasound, the Troponin – they're merely alerts. Like a faint smell of grime. They lack specificity. Acute rejection isn't some vague illness; it's the immune system actively tearing apart the new heart. To truly clean this situation, to confirm it definitively, you must perform an Endomyocardial Biopsy. Obtain the tissue, look under the microscope. See the lymphocyte infiltration, the damage to the heart cells. Anything less is just speculation, and I don't tolerate half-measures.
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