[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-029":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-029","nurse-106-2-basic-medicine-029",106,2,29,"對於直接調控腎臟皮質集尿管（collecting duct）上皮細胞對水的通透性，下列何者能力最強？",{"A":15,"B":16,"C":17,"D":18},"血管加壓素（vasopressin）","腎素（renin）","血管張力素（angiotensin）","腎上腺皮質素（corticosteroid）","A",null,[],"本題考點是集尿管對水通透性的直接調控者。依血管加壓素(vasopressin\u002FADH)的作用機轉,其與集尿管主細胞 V2 受體結合,促使水通道蛋白 aquaporin-2 嵌入管腔膜,直接提升對水的再吸收通透性,能力最強,故選 A。B 腎素為酵素,催化血管張力素原轉換,屬上游調節;C 血管張力素主要調控血壓與醛固酮分泌;D 腎上腺皮質素影響鈉再吸收,對集尿管「水」通透性並非直接且最強者,故均非答案。","ADH(vasopressin)兩型受體:V1(血管平滑肌收縮、升壓)、V2(集尿管主細胞→cAMP→aquaporin-2 嵌入管腔膜→重吸收水)。缺乏或受體異常即尿崩症(diabetes insipidus)。對照腎素-血管張力素-醛固酮系統:血管張力素 II 與醛固酮主要調「鈉」再吸收,ADH 才是直接調「水」通透的最強者,兩軸分工要分清。",[25,28,30,32],{"term":26,"count":27},"血管加壓素",1,{"term":29,"count":27},"V2 受體",{"term":31,"count":27},"aquaporin-2",{"term":33,"count":27},"集尿管水通透性",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-030","去玉山旅遊時，由於氧分壓不足，因而引起呼吸加快，在此情況下，何種生理反應最可能伴隨發生？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-046","子宮外孕最常見的位置是下列何者？",46,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-basic-medicine-060","下列醛固酮（aldosterone）的拮抗劑中，何者可作為降血壓藥物，但不抑制睪丸酮（testosterone）之合成？",60,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-basic-medicine-018","下列何者不是下視丘的主要功能？",18,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-basic-medicine-062","下列何種藥物可用於治療肢端肥大症（acromegaly）？",62,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-basic-medicine-016","河豚毒素（tetrodotoxin）對神經細胞最主要的影響為何？",16,111,"2026-09-04",1788510696385]