[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-031","nurse-106-2-basic-medicine-031",106,2,31,"在紅血球中，下列何者是催化二氧化碳與水結合形成碳酸最重要的酵素？",{"A":15,"B":16,"C":17,"D":18},"碳酸酐酶（carbonic anhydrase）","乳糜蛋白酶（chymotrypsin）","肌凝蛋白輕鏈激酶（myosin-light chain kinase）","阿爾發澱粉酶（alpha amylase）","A",null,[],"本題考點是紅血球內二氧化碳運輸的關鍵酵素。依碳酸酐酶(carbonic anhydrase)的催化機轉,其加速 CO₂ 與水結合生成碳酸(H₂CO₃),再解離為氫離子與碳酸氫根,是紅血球運送二氧化碳的核心,故選 A。B 乳糜蛋白酶為胰臟分泌的蛋白質消化酶;C 肌凝蛋白輕鏈激酶參與平滑肌收縮;D 阿爾發澱粉酶分解澱粉,三者皆與碳酸生成無關。","碳酸酐酶催化 CO₂+H₂O⇌H₂CO₃ 的雙向反應,是紅血球以碳酸氫根運送約七成 CO₂(伴隨氯轉移 Hamburger shift)的關鍵,也參與腎小管與胃壁的酸鹼調節。臨床連結:碳酸酐酶抑制劑(acetazolamide)可作利尿劑、治療青光眼與高山症,正是阻斷此酶。",[25,28,30,33],{"term":26,"count":27},"碳酸酐酶",5,{"term":29,"count":11},"碳酸氫根",{"term":31,"count":32},"二氧化碳運輸",1,{"term":34,"count":32},"碳酸生成",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-basic-medicine-032","小腸上具備有免疫功能的細胞位在何處？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-basic-medicine-048","下列那一個中樞神經系統部位是肌萎縮性側索硬化症（amyotrophic lateral sclerosis）的主要病變區？",48,107,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-107-2-basic-medicine-062","有關藥物併用的敘述，下列何者錯誤？",62,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-1-basic-medicine-020","下列那一腦區病變最可能造成表達性失語症（expressive aphasia）？",20,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-basic-medicine-064","下列何者與磺胺藥（sulfadoxine）混合使用，以治療弓形蟲（Toxoplasma gondii）之感染？",64,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-018","人體內胰島 β 細胞被破壞時，不會產生下列何種反應？",18,111,"2026-09-04",1788510696432]