[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-031":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-031","nurse-109-2-basic-medicine-031",109,2,31,"下列何者為刺激胃泌素（gastrin）分泌之直接且重要的因子？",{"A":15,"B":16,"C":17,"D":18},"膨脹的胃","胃腔內[H + ]增加","胰泌素（secretin）分泌","食道的蠕動（peristalsis）","A",null,[],"本題考點是胃泌素(gastrin)分泌的刺激因子。依消化生理,胃泌素由胃竇的G細胞分泌,直接且重要的刺激因子包括胃壁被食物撐開(膨脹)、蛋白質消化產物(胜肽、胺基酸)及迷走神經興奮,故正解A「膨脹的胃」。B胃腔內氫離子[H⁺]增加(酸度上升)反而透過體抑素負回饋抑制胃泌素分泌,方向相反。C胰泌素(secretin)是十二指腸受酸刺激分泌的荷爾蒙,作用之一即抑制胃泌素與胃酸,並非刺激。D食道蠕動與胃泌素分泌無直接因果關係。故刺激胃泌素分泌者為胃部膨脹,選A。","胃泌素調控:刺激=胃擴張(迷走-迷走反射與局部腸神經)、蛋白質分解產物、迷走神經釋放GRP;抑制=胃內pH下降(\u003C3)經D細胞釋放體抑素負回饋、secretin。胃泌素作用:促壁細胞泌鹽酸、促胃黏膜生長。臨床:Zollinger-Ellison症候群為胃泌素瘤致大量胃酸與頑固潰瘍;制酸劑或萎縮性胃炎使胃酸低下,反使胃泌素代償升高。記憶:「食物撐胃、蛋白刺激、迷走催」促分泌,「酸多」則自我煞車。",[25,27,30,32,34],{"term":26,"count":11},"胰泌素",{"term":28,"count":29},"胃泌素",1,{"term":31,"count":29},"G細胞",{"term":33,"count":29},"胃擴張",{"term":35,"count":29},"體抑素負回饋",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-032","下列何者為胰臟內分泌細胞與胃壁的細胞皆可分泌的物質？",32,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"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":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-062","有關體重控制藥物 Lorcaserin 的敘述，下列何者錯誤？",62,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-1-basic-medicine-050","若 A 血型的人輸血給 B 血型的人，受血者因抗原刺激產生的抗體是屬於：",50,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-004","DNA 雙股結構中的腺嘌呤（adenine）主要與下列何者配對？",4,113,3,{"webId":62,"stem":63,"number":44,"year":64,"session":60},"nurse-114-3-basic-medicine-048","有關真菌分類以及其細胞結構，下列敘述何者最不適當？",114,"2026-09-04",1788510715029]