[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-029":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":26},"nurse-108-2-基礎醫學-029","nurse-108-2-basic-medicine-029",108,2,29,"下列何者可產生表面活性劑（surfactant）？",{"A":15,"B":16,"C":17,"D":18},"第二型肺泡細胞","結締組織","氣管的上皮細胞","黏膜細胞","A",null,[],"本題考點為肺表面活性劑的分泌細胞。肺泡上皮有兩型細胞,第二型肺泡細胞負責合成並分泌表面活性劑,以降低肺泡表面張力、防止肺泡塌陷,故選A。B結締組織位於肺泡間隔提供支撐,不分泌表面活性劑。C氣管的上皮細胞主要為具纖毛的假複層柱狀上皮,負責黏液纖毛清除,而非分泌表面活性劑。D黏膜細胞泛指分泌黏液的細胞,與肺泡表面活性劑的來源無關。判斷關鍵在於認清「第一型肺泡細胞負責氣體交換、第二型肺泡細胞負責分泌表面活性劑」的分工,答案指向第二型。","肺泡上皮:第一型(扁平,佔表面積約95%,負責氣體交換)、第二型(立方,分泌表面活性劑並可增生修復)。表面活性劑主成分為二棕櫚醯卵磷脂(DPPC),降低肺泡表面張力,依拉普拉斯定律防止小肺泡塌陷並減少呼吸做功。臨床連結:早產兒第二型細胞未成熟、表面活性劑不足,導致新生兒呼吸窘迫症候群,產前給予類固醇可促其成熟。記憶:「一型換氣、二型造劑」。",[25,27,30,33],{"term":15,"count":26},5,{"term":28,"count":29},"拉普拉斯定律",3,{"term":31,"count":32},"表面活性劑",1,{"term":34,"count":32},"肺泡表面張力",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-basic-medicine-030","下列何者是維持亨利氏環下行支水分再吸收的因素？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-basic-medicine-046","下列關於乳癌的敘述何者錯誤？",46,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-basic-medicine-060","Cimetidine抑制胃酸分泌的藥理作用，為下列何種機轉？",60,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-basic-medicine-018","肌肉收縮使用無氧呼吸時，主要使用的能量來源為何？",18,111,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-112-2-basic-medicine-042","黴菌結構及生理特性的敘述，下列何者正確？",42,112,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-113-3-basic-medicine-036","下列藥物中，何者為抗凝血劑（anticoagulant），主要用於預防深層靜脈栓塞（deep vein thrombosis）生成？",36,113,"2026-09-04",1788510705033]