[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":61},"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":26},"nurse-107-1-基礎醫學-002","nurse-107-1-basic-medicine-002",107,1,2,"下列何者分泌褪黑激素（melatonin）？",{"A":15,"B":16,"C":17,"D":18},"腦下腺前葉","松果體","甲狀腺","腎上腺","B",null,[],"本題考點在內分泌腺與其分泌激素的對應。褪黑激素(melatonin)由位於間腦背側的松果體(pineal gland)分泌,受光照調控,主導生理時鐘與睡眠覺醒週期,故選B。A腦下腺前葉分泌生長激素、促甲狀腺素、促腎上腺皮質素、泌乳素及性腺刺激素等,不分泌褪黑激素;C甲狀腺分泌甲狀腺素(T3、T4)與抑鈣素;D腎上腺分泌皮質醇、醛固酮及腎上腺素等。四者中唯松果體負責褪黑激素,故正解為B。","松果體是感光調節的內分泌腺,黑暗時分泌褪黑激素增加、光照時受抑制,故褪黑激素被稱為黑暗荷爾蒙,調控日夜節律(circadian rhythm)與睡眠。記憶口訣:松果管睡眠、見光就下班。可連結生理時鐘由下視丘視交叉上核(SCN)主控,再驅動松果體分泌;臨床上褪黑激素與時差、失眠、季節性情緒失調相關。與其他腺體激素一併製表記憶,是解剖生理與內分泌章節的高頻對應題型。",[25,27,29,31],{"term":16,"count":26},4,{"term":28,"count":11},"褪黑激素melatonin",{"term":30,"count":11},"生理時鐘晝夜節律",{"term":32,"count":11},"內分泌腺激素對應",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-003","下列何者不附著於肩胛骨上？",3,{"webId":39,"stem":40,"number":41,"year":10,"session":12},"nurse-107-2-basic-medicine-019","下列何者是以手電筒照射眼睛引起瞳孔反射的傳入神經？",19,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-108-1-basic-medicine-033","鏈球菌感染後腎小球腎炎（post-streptoccocal glomerulonephritis）是屬於那一型過敏反應（hypersensitivity reaction）？",33,108,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-109-1-basic-medicine-071","Azole 類抗黴菌劑的作用機轉是：",71,109,{"webId":53,"stem":54,"number":55,"year":56,"session":12},"nurse-110-2-basic-medicine-035","嗜伊紅性白血球增多（eosinophilic leukocytosis）之常見原因，下列何者錯誤？",35,110,{"webId":58,"stem":59,"number":41,"year":60,"session":11},"nurse-112-1-basic-medicine-019","下列有關心衰竭病程中的代償調節作用之敘述，何者正確？",112,"2026-09-04",1788510700794]