[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"kakomon-q-2024-hissu-35":3},{"slug":4,"exam_year":5,"exam_round":6,"section":7,"section_code":8,"number":9,"body":10,"choices":11,"correct_indices":28,"explanation":29,"has_explanation":24,"tags":30},"2024-hissu-35",2024,2,"必須","hissu",35,"肝性脳症の原因物質はどれか。",[12,16,18,21,25],{"index":13,"body":14,"is_correct":15},1,"ビリルビン",false,{"index":6,"body":17,"is_correct":15},"尿酸",{"index":19,"body":20,"is_correct":15},3,"尿素",{"index":22,"body":23,"is_correct":24},4,"アンモニア",true,{"index":26,"body":27,"is_correct":15},5,"胆汁酸",[22],"正答は4（アンモニア）。肝性脳症は、肝機能低下で解毒されなかったアンモニアが脳に達し神経症状を起こす病態で、主な原因物質はアンモニア。1ビリルビン（黄疸）・2尿酸・3尿素・5胆汁酸は、いずれも肝性脳症の直接の原因物質ではない。よってアンモニア。**覚え方**: 肝性脳症＝アンモニアが解毒されず脳へ。肝臓は本来アンモニアを尿素に変える。",null]