[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-108-1-基礎醫學-027","nurse-108-1-basic-medicine-027",108,1,27,"高蛋白質且低碳水化合物的飲食，可以刺激胰島素（insulin）分泌，但不會造成低血糖的最可能原因為何？",{"A":15,"B":16,"C":17,"D":18},"血漿中的胺基酸快速轉換為葡萄糖","同時刺激昇糖素（glucagon）的分泌","胺基酸抑制胰島素與接受器結合","血漿中的葡萄糖無法被細胞利用","B",null,[],"本題考點為高蛋白低碳飲食時的血糖調控。依內分泌生理，攝入胺基酸會直接刺激胰島 β 細胞分泌胰島素；若單獨作用恐使血糖下降，但胺基酸同時也刺激 α 細胞分泌昇糖素（glucagon），昇糖素促進肝醣分解與糖質新生升高血糖，兩者拮抗使血糖維持穩定而不致低血糖，故選 B。A 敘述胺基酸「快速轉為葡萄糖」非主要機轉；C「胺基酸抑制胰島素與受器結合」並無此機轉；D「葡萄糖無法被利用」與情境矛盾，皆錯。","此為胰島 α、β 細胞的雙荷爾蒙平衡設計：純蛋白餐時，胰島素幫胺基酸進入細胞合成蛋白，昇糖素同步升糖以防低血糖；純糖餐則以胰島素分泌為主。臨床意義——高蛋白飲食較不易引發餐後高血糖，正因胺基酸同時誘發胰島素分泌促進利用。",[25,28,30,32,34],{"term":26,"count":27},"糖質新生",3,{"term":29,"count":11},"胺基酸刺激胰島素",{"term":31,"count":11},"昇糖素",{"term":33,"count":11},"胰島 α 與 β 細胞",{"term":35,"count":11},"血糖恆定",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-028","下列那一個類固醇激素生合成路徑中的酵素，決定了女性而非男性第二性徵的發育？",28,{"webId":42,"stem":43,"number":44,"year":10,"session":45},"nurse-108-2-basic-medicine-044","下列何者為常見的小球性（microcytic）貧血的原因？",44,2,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-109-1-basic-medicine-058","關節炎之發炎反應可用 celecoxib 加以治療，其較少引發胃腸道出血。此藥物主要阻斷何種自泌素之生合成？",58,109,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-110-2-basic-medicine-016","股神經（femoral nerve）受損，最可能發生下列何種情形？",16,110,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-1-basic-medicine-010","總膽管是由下列何者會合而形成？",10,112,{"webId":62,"stem":63,"number":64,"year":65,"session":45},"nurse-113-2-basic-medicine-004","下列何者為隔開心臟的右心房與右心室之間的瓣膜？",4,113,"2026-09-04",1788510708326]