[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-106-2-基礎醫學-023","nurse-106-2-basic-medicine-023",106,2,23,"因自體免疫而破壞所有腎上腺皮質組織時，下列何者生合成受影響？",{"A":15,"B":16,"C":17,"D":18},"腎上腺糖皮質激素與去甲基腎上腺素（正腎上腺素）","腎上腺鹽皮質激素與腎上腺素","腎上腺糖皮質激素與雄激素","腎上腺鹽皮質激素與雌激素","C",null,[],"本題考點是腎上腺皮質與髓質的分泌區隔。依腎上腺皮質三層分別合成:絲球帶產鹽皮質激素、束狀帶產糖皮質激素、網狀帶產雄激素;腎上腺素與去甲基腎上腺素則由髓質分泌。自體免疫破壞「所有皮質」時,受影響者必為皮質三大類固醇,故選同屬皮質產物的糖皮質激素與雄激素(C)。A、B 各配一個髓質產物(去甲基腎上腺素、腎上腺素),不受皮質破壞影響;D 雌激素並非腎上腺皮質的主要合成產物,配對不當,故均非最佳答案。","記腎上腺皮質三層由外到內「Salt、Sugar、Sex」:Glomerulosa→鹽皮質(醛固酮)、Fasciculata→糖皮質(皮質醇)、Reticularis→性荷爾蒙(雄激素);髓質才產兒茶酚胺。愛迪生氏病(Addison's disease)即皮質全面破壞,故醛固酮下降(低血鈉、高血鉀)、皮質醇下降、雄激素下降,而髓質兒茶酚胺不受影響。",[25,28,30,32],{"term":26,"count":27},"腎上腺皮質三層",1,{"term":29,"count":27},"糖皮質激素",{"term":31,"count":27},"雄激素",{"term":33,"count":27},"腎上腺髓質兒茶酚胺",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-024","下列何者因分泌持續增加而使骨質密度增加？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-040","下列何種傳染病最有可能侵犯主動脈之血管滋養管（vasa vasorum）導致動脈瘤之產生？",40,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-basic-medicine-054","下列何者不是 aspirin 的藥理作用？",54,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-basic-medicine-012","下列有關膽囊的敘述何者正確？",12,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-basic-medicine-056","下列何者不是 phenytoin 的副作用？",56,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-basic-medicine-010","有關舌乳頭之敘述，下列何者正確？",10,111,"2026-09-04",1788510696332]