[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-026":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":27},"nurse-109-2-基礎醫學-026","nurse-109-2-basic-medicine-026",109,2,26,"18歲女性外表，沒有月經，性染色體為XY，其細胞對雄性素不敏感，在此病人所表現的病徵中，下列何者是因為缺乏雄性素接受器所造成？",{"A":15,"B":16,"C":17,"D":18},"基因型（genotype）為46, XY","沒有子宮頸和子宮","睪固酮（testosterone）濃度上升","沒有月經週期","C",null,[],"本題考點是雄性素不敏感症候群中,哪項病徵直接源於雄性素接受器缺陷。依內分泌病生理,此症因雄性素接受器基因突變,標的組織無法對睪固酮起反應,負回饋失效使LH持續刺激睪丸,睪固酮濃度不降反升,故C「睪固酮濃度上升」正是接受器缺乏直接造成,為正解。A基因型46,XY是染色體組成本身,由性染色體決定,非接受器所致。B沒有子宮頸與子宮是因睪丸分泌的抗穆氏管荷爾蒙(AMH)正常使穆氏管退化所致,與接受器無關。D沒有月經是B的解剖後果(無子宮),屬下游結果。故選C。","完全型AIS(睪丸女性化):基因型46,XY、性腺為睪丸(常隱睪),因AMH正常使穆氏管(子宮輸卵管)退化,又因雄性素接受器失效使沃氏管與外生殖器不能男性化,外觀呈女性、盲端陰道、乳房發育(睪固酮周邊芳香化為雌激素)。荷爾蒙特徵:睪固酮與LH升高、雌激素中等。鑑別重點:AMH管子宮有無、雄性素管外生殖器男性化。此題關鍵在區分「哪些是接受器缺陷直接造成(睪固酮回饋上升)」vs「哪些是AMH或染色體造成」。",[25,28,30,32,34],{"term":26,"count":27},"雄性素不敏感症候群",1,{"term":29,"count":27},"雄性素接受器",{"term":31,"count":27},"睪固酮負回饋",{"term":33,"count":27},"抗穆氏管荷爾蒙AMH",{"term":35,"count":27},"睪丸女性化",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-027","男性心血管疾病發生率高於非更年期女性，主要是下列何種因素導致此現象？",27,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-110-1-basic-medicine-043","下列何種腫瘤的細胞來源是上皮細胞（epithelial cells）？",43,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-057","下列何者藥物具有強力止吐作用？",57,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-112-1-basic-medicine-045","法蘭西氏土倫桿菌（Francisella tularensis）主要感染何種人體細胞？",45,112,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-2-basic-medicine-049","流行性感冒病毒感染後，引起的常見症狀，如發燒、喉嚨痛及關節疼痛的原因不包括下列何者？",49,113,{"webId":61,"stem":62,"number":44,"year":63,"session":64},"nurse-114-3-basic-medicine-043","面對胞外細菌感染時，下列那種效應 CD4 + T 細胞對強化嗜中性球驅化反應貢獻較大？",114,3,"2026-09-04",1788510714969]