[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":27},"nurse-109-2-基礎醫學-009","nurse-109-2-basic-medicine-009",109,2,9,"嗜鉻性細胞（chromaffin cells）主要位於下列何構造中？",{"A":15,"B":16,"C":17,"D":18},"腎上腺皮質（cortex of adrenal gland）","腎上腺髓質（medulla of adrenal gland）","甲狀腺（thyroid gland）","松果腺（pineal gland）","B",null,[],"本題考點是嗜鉻性細胞的所在構造與內分泌功能。依內分泌解剖,嗜鉻性細胞位於腎上腺髓質,受交感節前纖維支配,分泌腎上腺素與正腎上腺素等兒茶酚胺,選 B。A 腎上腺皮質分泌類固醇(醛固酮、皮質醇、性荷爾蒙),非嗜鉻細胞。C 甲狀腺由濾泡細胞分泌甲狀腺素、濾泡旁細胞分泌降鈣素。D 松果腺由松果細胞分泌褪黑激素。考點在於鎖定嗜鉻性細胞—腎上腺髓質—兒茶酚胺,並與皮質類固醇分泌區分。","腎上腺髓質可視為特化的交感神經節,節前膽鹼性纖維直接刺激嗜鉻細胞釋放兒茶酚胺入血,是交感「戰或逃」反應的內分泌延伸。皮質由外而內三層:絲球帶(醛固酮)、束狀帶(皮質醇)、網狀帶(性類固醇);髓質在最內層。臨床連結:嗜鉻細胞瘤(pheochromocytoma)過度分泌兒茶酚胺,致陣發性高血壓、心悸、頭痛與盜汗。口訣「皮質類固醇、髓質兒茶酚」分層記憶最穩。",[25,28,30,33],{"term":26,"count":27},"腎上腺皮質分層",3,{"term":29,"count":11},"兒茶酚胺",{"term":31,"count":32},"嗜鉻性細胞",1,{"term":34,"count":32},"腎上腺髓質",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-basic-medicine-010","房室結（atrioventricular node）位於心臟的何處？",10,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-basic-medicine-026","有關紅血球生成素（erythropoietin）的分泌與作用，下列那些敘述正確？①缺氧時會分泌減少 ②主要在腎臟合成分泌 ③可促進紅血球之生成 ④主要標的器官為紅骨髓",26,110,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-110-2-basic-medicine-040","梅克爾氏憩室（Meckel diverticulum）最常見的異位組織，下列何者正確？",40,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-basic-medicine-028","兒童之後天性心臟病最常見者為下列那一種？",28,112,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-113-2-basic-medicine-032","有關全身性麻醉劑 propofol，下列敘述何者正確？",32,113,{"webId":60,"stem":61,"number":43,"year":62,"session":27},"nurse-114-3-basic-medicine-026","家族腺瘤性瘜肉症（familial adenomatous polyposis）主要是因為那個基因產生突變所造成？",114,"2026-09-04",1788510714832]