[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-109-1-基礎醫學-017","nurse-109-1-basic-medicine-017",109,1,17,"人類絨毛性腺促素（hCG）與下列何者之生理作用及化學組成相似？",{"A":15,"B":16,"C":17,"D":18},"胰島素（insulin）","黃體生成素（LH）","腎上腺皮質刺激素（ACTH）","抗利尿素（ADH）","B",null,[],"本題考點是 hCG 與其他荷爾蒙的相似性。依內分泌學,hCG 與黃體生成素(LH)同屬醣蛋白激素、共用相同的 α 次單位,且 hCG 能作用於 LH 受體、維持黃體以支持早期妊娠,故其作用與化學組成與 LH 最相似,選 B。A 胰島素是調節血糖的多肽,與 hCG 無關。C 腎上腺皮質刺激素(ACTH)作用於腎上腺皮質,屬不同類多肽。D 抗利尿素(ADH)是調節水分再吸收的九肽,與 hCG 無同源性。考點在於掌握醣蛋白激素家族共用 α 次單位、hCG 與 LH 交叉作用於同一受體。","醣蛋白激素家族:LH、FSH、TSH、hCG 皆由 α+β 兩次單位組成,α 次單位『相同』,β 次單位決定各自專一性;hCG 的 β 與 LH 高度相似,故能活化 LH\u002FCG 受體。臨床應用:①驗孕(hCG 由滋養層細胞分泌,受孕後迅速上升);②因與 TSH 也共用 α 次單位且結構近似,高濃度 hCG(如妊娠劇吐、葡萄胎)可輕度刺激甲狀腺;③排卵療程可用 hCG 模擬 LH 峰觸發排卵。記『hCG≈LH,同 α 次單位』即解本題。",[25,27,29,31],{"term":26,"count":11},"hCG與LH相似",{"term":28,"count":11},"醣蛋白激素α次單位",{"term":30,"count":11},"LH受體交叉作用",{"term":32,"count":11},"維持黃體",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-1-basic-medicine-018","下列何者不是下視丘的主要功能？",18,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-109-2-basic-medicine-034","斯耶格雷症候群（Sjogren syndrome）的病理學變化，下列何者在唾液腺有大量浸潤？",34,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-110-1-basic-medicine-048","關於正常骨折癒合的過程，下列那一個順序是正確的？",48,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-basic-medicine-006","手術時不小心移除下列何者，最可能直接造成血鈣濃度下降？",6,111,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-113-1-basic-medicine-010","調節消化道平滑肌收縮，最主要的離子為下列何者？",10,113,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-114-2-basic-medicine-004","在大多數的人，下列那兩者是左冠狀動脈（left coronary artery）的主要分支？",4,114,"2026-09-04",1788510711065]