[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-108-2-基礎醫學-031","nurse-108-2-basic-medicine-031",108,2,31,"下列有關蛋白質消化和吸收的敘述，何者正確？",{"A":15,"B":16,"C":17,"D":18},"胰臟管細胞（duct cell）能分泌蛋白酶，於小腸協助蛋白質分解","吸收後，蛋白質消化產物直接通過血液進入肝臟","胃蛋白酶（pepsin）可於小腸與胰臟分泌的蛋白酶協同消化蛋白質","蛋白酶皆以具活性的形式從製造的細胞分泌出來","B",null,[],"本題考點在蛋白質消化的部位、酵素活化與吸收路徑。依營養吸收生理，胺基酸與小胜肽經小腸上皮吸收後進入微血管，匯入肝門靜脈直接送往肝臟代謝（脂質才走乳糜管與淋巴），故B正確。A錯：胰臟腺泡細胞（acinar cell）才分泌蛋白酶，管細胞（duct cell）分泌的是碳酸氫鹽與水分，用以中和胃酸。C錯：胃蛋白酶最適pH為酸性，進入小腸鹼性環境即失活，無法與胰蛋白酶協同作用。D錯：蛋白酶均以無活性的酶原（zymogen）形式分泌，如胃蛋白酶原、胰蛋白酶原，需經活化才具消化力，以免自我消化。","關鍵對比在吸收後的運輸路徑：水溶性營養素（胺基酸、單醣）走肝門靜脈系統先過肝，脂溶性營養素（乳糜微粒）走淋巴系統經胸管才入血。酶原活化為連鎖設計：腸激酶（enterokinase）先活化trypsinogen成trypsin，trypsin再活化其他酵素與自身，形成放大級聯。記憶要訣：分泌酵素的部位（acinar）與分泌鹼液的部位（duct）分工不同；pepsin『酸生鹼死』。可連結：胰臟外分泌、乳糜微粒、腸激酶級聯活化。",[25,28,30,32],{"term":26,"count":27},"肝門靜脈吸收路徑",1,{"term":29,"count":27},"酶原zymogen活化",{"term":31,"count":27},"胃蛋白酶最適pH",{"term":33,"count":27},"胰臟腺泡細胞與管細胞分工",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-032","下列那一項不屬於進食誘發吞嚥反射（swallowing reflex）？",32,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-048","庫辛氏病（Cushing’s disease）的原因為何？",48,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-062","下列何者屬於腦下垂體後葉分泌的激素，可用於治療尿崩症？",62,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-020","下列關於摸到滾燙的熱水，手臂會迅速的收回的敘述，何者錯誤？",20,111,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-2-basic-medicine-044","下列何種原因會造成器官移植的超急性排斥（hyperacute rejection）？",44,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-basic-medicine-038","進行女性不孕症治療療程中，下列何種藥物最適合促進卵巢濾泡成熟？",38,113,3,"2026-09-04",1788510705062]