[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-109-2-基礎醫學-013","nurse-109-2-basic-medicine-013",109,2,13,"膽汁之製造及注入消化道的位置，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"肝臟製造，注入十二指腸","肝臟製造，注入空腸","膽囊製造，注入十二指腸","膽囊製造，注入空腸","A",null,[],"本題考點是膽汁的製造器官與注入腸道的解剖位置。依消化生理，膽汁由肝臟的肝細胞持續合成，經肝管、總膽管，與胰管會合於Vater壺腹，開口在十二指腸大乳頭，故正解為A「肝臟製造，注入十二指腸」。C、D把製造器官寫成膽囊是錯的：膽囊只負責濃縮與儲存膽汁，不具合成功能，進食時收縮排放，並非製造來源。B雖答對製造器官是肝臟，但注入位置寫成空腸也錯，膽汁與胰液的共同開口在十二指腸而非空腸；空腸是小腸的中段，並非膽胰管開口處。掌握「肝臟造、膽囊存、十二指腸放」三段分工即可鎖定答案。","膽汁排放路徑：肝細胞→膽小管→左右肝管→總肝管，與膽囊管會合成總膽管，再與主胰管匯入肝胰壺腹(ampulla of Vater)，經Oddi括約肌控制開口於十二指腸降部大乳頭。膽汁成分含膽鹽、膽固醇、膽色素(bilirubin)與卵磷脂，功能是乳化脂肪、活化胰脂酶。記憶口訣「肝造膽存腸用」；壺腹與Oddi括約肌是膽胰結石、膽道逆行性胰臟炎(ERCP)的關鍵解剖點。",[25,27,29,32,34],{"term":26,"count":11},"Vater壺腹",{"term":28,"count":11},"十二指腸",{"term":30,"count":31},"膽汁生成",1,{"term":33,"count":31},"肝細胞",{"term":35,"count":31},"膽囊儲存濃縮功能",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-014","下列有關腮腺的敘述，何者錯誤？",14,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-basic-medicine-030","在腎臟的近曲小管中，鈉離子主要與下列何種物質共同運輸進入上皮細胞？",30,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-044","關於良性（benign）腫瘤的敘述，下列何者最不適當？",44,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-1-basic-medicine-032","下列何者不是短效性鎮靜安眠藥？",32,112,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-2-basic-medicine-036","Clopidogrel 抑制血小板凝集的作用機制為何？",36,113,{"webId":61,"stem":62,"number":44,"year":63,"session":64},"nurse-114-3-basic-medicine-030","下列何種疾病是因為 FGFR3 基因突變而造成侏儒症（dwarfism）？",114,3,"2026-09-04",1788510714856]