[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-109-2-內外科護理學-017","nurse-109-2-medical-surgical-017",109,2,17,"有關刺激胃液分泌的因素，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"交感神經","胃泌素","三酸甘油酯","核甘酸","B",null,[],"本題考點在於刺激胃液分泌的生理因素。胃泌素（gastrin，B）由胃竇 G 細胞分泌，是刺激胃壁細胞分泌鹽酸的主要激素，屬胃液分泌的正向刺激，故選 B。A 交感神經作用相反，興奮時會抑制消化道分泌與蠕動（消化由副交感神經主導促進），故非刺激因素。C 三酸甘油酯屬脂肪，脂肪進入十二指腸反而促發腸抑胃素等機轉延緩胃排空與抑制胃酸，並非刺激胃液分泌。D 核甘酸並非調控胃液分泌的生理刺激因子。故刺激胃液分泌者為胃泌素。","胃酸分泌調控分三期：頭期（迷走神經／副交感，看到或想到食物即刺激）、胃期（食物擴張胃壁與蛋白質刺激 G 細胞分泌胃泌素，為主力）、腸期（食糜入十二指腸初期輕微促進、後由脂肪與酸誘發腸抑胃素轉為抑制）。促分泌三大因子：乙醯膽鹼（迷走）、胃泌素、組織胺（作用於壁細胞 H₂ 受體）。副交感促進、交感抑制。臨床：H₂ 阻斷劑與質子幫浦抑制劑即針對此路徑抑制胃酸。脂肪與高滲食糜則抑制胃排空。",[24,25,27,30,32],{"term":15,"count":10},{"term":26,"count":10},"壁細胞",{"term":28,"count":29},"胃酸分泌三期",1,{"term":31,"count":29},"副交感神經",{"term":33,"count":29},"腸抑胃素",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-018","有關骨性關節炎的診斷檢查，下列何者正確？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-medical-surgical-034","決定心搏出量（stroke volume）的要素，下列何者錯誤？",34,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-medical-surgical-048","有關後天免疫缺乏症候群（acquired immunodeficiency syndrome, AIDS）病人出院護理指導的敘述，下列何者錯誤？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-medical-surgical-006","有關巴金森氏症病人的日常活動指導，下列敘述何者錯誤？",6,112,{"webId":54,"stem":55,"number":56,"year":52,"session":57},"nurse-112-3-medical-surgical-050","根據 2020 年美國心臟醫學會（AHA）公告的「生存之鏈（chain of survival）」急救步驟，發生於醫院內心臟停止的照護（in hospital cardiac arrest, IHCA），其急救重點次序，下列何者正確？①即早辨識和預防 ②緊急應變系統啟動 ③施行高品質 CPR ④去顫 ⑤心臟停止後照護 ⑥復原",50,3,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-114-1-medical-surgical-044","有關肢端肥大症之症狀，下列何者錯誤？",44,114,"2026-09-04",1788510716403]