[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-109-1-基礎醫學-030","nurse-109-1-basic-medicine-030",109,1,30,"下列那個維生素（vitamin）會出現在乳糜微粒（chylomicron）中？",{"A":15,"B":16,"C":17,"D":18},"維生素 A","維生素 B6","維生素 B12","維生素 C","A",null,[],"本題考點是脂溶性維生素的吸收與運送途徑。乳糜微粒（chylomicron）是腸道吸收脂肪後於腸上皮組成、經淋巴運送的脂蛋白，脂溶性維生素（A、D、E、K）隨脂肪一起被包入其中，故維生素 A 會出現在乳糜微粒，選 A。(B) 維生素 B6、(D) 維生素 C 皆為水溶性，直接經門靜脈入血、不入乳糜微粒。(C) 維生素 B12 亦為水溶性，須與內在因子結合經迴腸吸收後入血，並非隨脂肪包入乳糜微粒。故唯一脂溶性者維生素 A 為答案。","維生素分兩類：脂溶性 A、D、E、K 隨膽鹽形成微膠粒（micelle）吸收，於腸細胞併入 chylomicron，經乳糜管（lacteal）→淋巴→鎖骨下靜脈入血，可儲存於肝與脂肪（過量易中毒）；水溶性 B 群與 C 直接經腸黏膜入門靜脈、不易儲存、過量由尿排出。記憶口訣：「脂溶 ADEK 搭乳糜微粒走淋巴，水溶 B、C 走門靜脈」。臨床連結：脂肪吸收不良（如膽道阻塞、胰功能不全）會併發脂溶性維生素缺乏。",[25,28,30,32,34],{"term":26,"count":27},"脂溶性維生素",4,{"term":29,"count":11},"乳糜微粒chylomicron",{"term":31,"count":11},"維生素A",{"term":33,"count":11},"微膠粒micelle",{"term":35,"count":11},"淋巴運送",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-basic-medicine-031","下列何者是人體細胞外液最重要的緩衝系統？",31,{"webId":42,"stem":43,"number":44,"year":10,"session":45},"nurse-109-2-basic-medicine-047","下列甲狀腺癌那一種最容易產生類澱粉沉積症（amyloidosis）？",47,2,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-110-1-basic-medicine-061","關於 corticosteroid 的臨床用途，下列何者錯誤？",61,110,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-111-2-basic-medicine-019","下列那一種人類細胞中，巴氏體（barr body）的數量會超過一個？",19,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-113-1-basic-medicine-023","下列那種遺傳性疾病的遺傳模式和其他選項不一樣？",23,113,{"webId":62,"stem":63,"number":64,"year":65,"session":45},"nurse-114-2-basic-medicine-017","下列何種疾病主要是視錐細胞（cone cells）基因突變異常所致？",17,114,"2026-09-04",1788510711177]