[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":11},"nurse-108-1-基礎醫學-028","nurse-108-1-basic-medicine-028",108,1,28,"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？",{"A":15,"B":16,"C":17,"D":18},"膽固醇碳鏈裂解酶（cholesterol desmolase）","芳香環轉化酶（aromatase）","5α 還原酶（5α-reductase）","醛固酮合成酶（aldosterone synthetase）","B",null,[],"本題考點為類固醇激素生合成路徑中決定女性性徵的關鍵酵素。依內分泌生化，芳香環轉化酶（aromatase）催化雄性素（如睪固酮、androstenedione）轉化為雌性素（estrogen），雌性素驅動女性第二性徵發育，故選 B。膽固醇碳鏈裂解酶（A）為所有類固醇合成的共同起始步驟，非女性專屬；5α 還原酶（C）將睪固酮轉為更強的雙氫睪固酮（DHT），主導男性外生殖器與第二性徵；醛固酮合成酶（D）屬礦物皮質酮路徑，與性徵無關，皆不符。","口訣：aromatase 造女人、5α-reductase 造男人。芳香酶存在於卵巢、脂肪與胎盤，是停經後雌激素的主要來源，故乳癌治療用 aromatase inhibitor（如 letrozole）阻斷。5α-reductase 抑制劑（finasteride）則用於攝護腺肥大與雄性禿。",[25,27,29,31,33],{"term":26,"count":11},"aromatase",{"term":28,"count":11},"雌性素合成",{"term":30,"count":11},"5α 還原酶",{"term":32,"count":11},"雙氫睪固酮",{"term":34,"count":11},"類固醇生合成路徑",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-029","下列有關心臟的敘述，何者正確？",29,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-108-2-basic-medicine-045","關於胃腸道基質瘤（gastrointestinal stromal tumor）的敘述，下列何者錯誤？",45,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-059","有關抗生素 amoxicillin 之敘述，下列何者錯誤？",59,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-basic-medicine-017","有關骨骼肌與心肌收縮的比較，下列敘述何者正確？",17,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-011","下列何者屬於胜肽類神經傳導物質？",11,112,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-113-2-basic-medicine-005","尿道外括約肌（external urethral sphincter）位於：",5,113,"2026-09-04",1788510708342]