[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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-110-1-基礎醫學-026","nurse-110-1-basic-medicine-026",110,1,26,"有關紅血球生成素（erythropoietin）的分泌與作用，下列那些敘述正確？①缺氧時會分泌減少 ②主要在腎臟合成分泌 ③可促進紅血球之生成 ④主要標的器官為紅骨髓",{"A":15,"B":16,"C":17,"D":18},"①②③","①③④","②③④","①②④","C",null,[],"本題考點在於紅血球生成素(erythropoietin,EPO)的分泌與作用。②主要由腎臟(腎皮質間質細胞)合成分泌、③能促進紅骨髓生成紅血球、④主要標的器官為紅骨髓,三者皆正確,故選C(②③④)。敘述①說缺氧時分泌「減少」則錯誤:缺氧正是刺激EPO分泌「增加」以提升攜氧能力的主要訊號,方向相反,故含①的A、B、D選項皆不成立。判斷關鍵在辨明缺氧會上調而非下調EPO。","缺氧使腎臟HIF(缺氧誘導因子)穩定、上調EPO基因;EPO作用於紅骨髓紅血球前驅細胞,促其增殖分化。慢性腎衰竭因EPO生成不足而致腎性貧血,臨床以重組EPO治療;高原居住或運動員濫用EPO增紅血球,皆為此軸的延伸,凸顯「缺氧→EPO上升」的核心邏輯。",[25,27,29,31],{"term":26,"count":11},"紅血球生成素",{"term":28,"count":11},"腎臟分泌",{"term":30,"count":11},"缺氧刺激",{"term":32,"count":11},"紅骨髓標的",[34,38,43,48,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-110-1-basic-medicine-027","體抑素（somatostatin）最主要抑制下列何種激素的分泌？",27,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-110-2-basic-medicine-043","5 歲小男孩，出現腦壓增加、步履不穩的症狀，腦部電腦斷層掃描發現小腦中間有一生長迅速的腫瘤，下列何者是最可能的診斷？",43,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-111-1-basic-medicine-057","下列有關 aspirin 的作用中，何者所需要的劑量最高？",57,111,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-basic-medicine-025","最常引起心肌炎（myocarditis）的原因為何？",25,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-114-1-basic-medicine-029","乳癌病患出現橘皮（peau d'orange）現象，與下列何者最有關？",29,114,{"webId":60,"stem":61,"number":62,"year":63,"session":42},"nurse-115-2-basic-medicine-023","有關體染色體隱性（autosomal recessive）遺傳疾病的描述，下列何者錯誤？",23,115,"2026-09-04",1788510719347]