[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":64},"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-032","nurse-109-2-basic-medicine-032",109,2,32,"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？",{"A":15,"B":16,"C":17,"D":18},"胰蛋白酶原（trypsinogen）","澱粉酶（amylase）","胃蛋白酶原（pepsinogen）","體抑素（somatostatin）","D",null,[],"本題考點是同時由胰臟內分泌細胞與胃壁細胞分泌的共通物質。依消化內分泌學,體抑素(somatostatin)由胰島的D細胞(delta cell)分泌,同時也由胃(及腸道)黏膜的D細胞分泌,具廣泛抑制作用,故正解D。A胰蛋白酶原(trypsinogen)是胰臟外分泌腺泡細胞分泌的消化酶原,胃壁不分泌。B澱粉酶(amylase)主要來自唾液腺與胰臟外分泌部,並非胃壁產物。C胃蛋白酶原(pepsinogen)由胃的主細胞分泌,是胃特有,胰臟內分泌細胞不分泌。唯有體抑素同時見於胰島與胃的D細胞,故選D。","體抑素(SS)是全身性抑制荷爾蒙:抑制胃泌素、胃酸、胰泌素、胰島素、升糖素、生長激素及多種消化液,故有「腸胃道的煞車」之稱。分泌來源:胰島D細胞、胃腸D細胞、下視丘(抑制GH與TSH)。臨床衍生藥物octreotide(體抑素類似物)用於肢端肥大症、消化道出血(食道靜脈曲張)、神經內分泌腫瘤。記憶:胰島四細胞—α(升糖素)、β(胰島素)、δ(體抑素)、PP細胞;δ細胞的體抑素也駐紮在胃,是本題跨器官交集答案。",[25,27,30,32,34],{"term":26,"count":11},"體抑素",{"term":28,"count":29},"胰島D細胞",1,{"term":31,"count":29},"胃D細胞",{"term":33,"count":29},"胃蛋白酶原",{"term":35,"count":29},"腸胃道荷爾蒙",[37,41,46,50,54,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-033","乳癌的病人，手術切除乳房後常引起同側手臂水腫，下列何者為最主要的致病機轉？",33,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-110-1-basic-medicine-049","國產藥物與外國原廠的藥物，口服後之時間-血中濃度曲線下之面積相同時，表示此兩種藥物具有何種相同性質？",49,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-063","下列何種藥物可以治療免疫不全病人，因感染巨細胞病毒（CMV）導致視網膜炎，以及對 acyclovir 無效之單純疱疹病毒感染？",63,{"webId":51,"stem":52,"number":29,"year":53,"session":11},"nurse-112-2-basic-medicine-001","總膽管是由那兩者匯聚形成？",112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-basic-medicine-005","關於第 7 肋骨的描述下列何者錯誤？",5,113,3,{"webId":61,"stem":62,"number":44,"year":63,"session":59},"nurse-114-3-basic-medicine-049","以蟲媒為傳染媒介的病毒，下列何者配對錯誤？",114,"2026-09-04",1788510715034]