[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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":27},"nurse-108-1-基礎醫學-063","nurse-108-1-basic-medicine-063",108,1,63,"關於腸泌素類似物（incretin minetics）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"增加 glucose-dependent insulin 的釋放","減少 glucagon 的釋放","減緩胃排空的速度","增加葡萄糖從尿液排除","D",null,[],"本題考點在腸泌素類似物（incretin mimetics，即 GLP-1 受體致效劑）的機轉，要挑出錯誤敘述。GLP-1 的作用是促進葡萄糖依賴性胰島素分泌、抑制升糖素、延緩胃排空並增加飽足感；D 稱『增加葡萄糖從尿液排除』實為 SGLT2 抑制劑的機轉，與腸泌素無關，故 D 錯誤、為正解。A 正確：GLP-1 促進葡萄糖依賴性胰島素釋放，血糖高時才作用故低血糖風險低。B 正確：抑制升糖素分泌，減少肝糖輸出。C 正確：延緩胃排空使餐後血糖上升較緩，三者皆為 GLP-1 的真實作用。","腸泌素含 GLP-1 與 GIP，進食後由腸道分泌，放大胰島素反應（incretin effect）。GLP-1 受體致效劑（Exenatide、Liraglutide、Semaglutide）四大作用：↑葡萄糖依賴性胰島素、↓升糖素、延緩胃排空、中樞抑制食慾降體重。內生 GLP-1 會被 DPP-4 快速分解，故另有 DPP-4 抑制劑（-gliptin）延長其作用。對比 SGLT2 抑制劑（-gliflozin）則是阻斷近端腎小管葡萄糖再吸收使尿糖增加，兩者機轉完全不同，勿混淆。",[25,28,30,32,34],{"term":26,"count":27},"腸泌素",2,{"term":29,"count":27},"SGLT2 抑制劑",{"term":31,"count":11},"GLP-1 受體致效劑",{"term":33,"count":11},"葡萄糖依賴性胰島素",{"term":35,"count":11},"升糖素抑制",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-064","下列何種反轉錄酶（reverse transcriptase）抑制劑，不適用於人類免疫不全病毒（HIV）感染的治療？",64,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-108-2-basic-medicine-080","目前認為下列那種吸蟲感染與人類膽管癌的發生最有關係？",80,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-109-2-basic-medicine-014","下列有關腮腺的敘述，何者錯誤？",14,109,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-052","動情素在臨床上用來治療攝護腺癌，是因為下列何種藥理作用？",52,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-046","下列何者為第二期梅毒患者的主要臨床症狀？",46,112,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-113-2-basic-medicine-040","有關克隆氏症（Crohn’s disease）之治療，下列那一個藥物屬於 TNF-α 抑制劑？",40,113,"2026-09-04",1788510708631]