[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-110-1-基礎醫學-032","nurse-110-1-basic-medicine-032",110,1,32,"有關脂溶性維生素的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"吸收不受膽汁分泌的影響","包含維生素 A、D、E 與 K","溶解在微膠粒（micelle）中","在小腸中被吸收進入人體","A",null,[],"本題考點在於脂溶性維生素的吸收特性,問「錯誤」敘述。脂溶性維生素須先溶入由膽汁與脂質形成的微膠粒(micelle)才能被小腸吸收,因此其吸收「高度依賴」膽汁分泌,A說吸收不受膽汁影響,與事實相反、為正解。B說脂溶性維生素包含A、D、E、K,正確。C說溶解在微膠粒中隨脂肪一起吸收,正確。D說在小腸中被吸收進入人體,正確。三者皆對,唯A誤稱不受膽汁影響。","膽汁鹽把脂肪與脂溶性維生素乳化成微膠粒,增大接觸面利於吸收,吸收後併入乳糜微粒經淋巴運送。故膽道阻塞、膽汁缺乏或嚴重脂肪吸收不良時,易併發脂溶性維生素缺乏(如維生素K不足致凝血異常)。對比水溶性維生素多可直接吸收、不倚賴膽汁,是本題的關鍵區分。",[25,28,31,33],{"term":26,"count":27},"脂溶性維生素",4,{"term":29,"count":30},"脂肪吸收",3,{"term":32,"count":11},"膽汁與微膠粒",{"term":34,"count":11},"維生素ADEK",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-1-basic-medicine-033","40 歲女性出現手指僵硬，吞嚥困難及非發炎性真皮明顯纖維化。此人最可能罹患下列何種疾病？",33,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-110-2-basic-medicine-049","治療青光眼的藥物中，下列何者是藉由直接作用於膽鹼性受體（cholinergic receptor）而降低眼壓？",49,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-111-1-basic-medicine-063","下列何者可藉由中和 interleukin-1（IL-1），阻斷 IL-1 受體活化所導致的關節發炎疾病？",63,111,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-112-3-basic-medicine-031","下列何種藥物不適合用來治療青光眼？",31,112,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-114-1-basic-medicine-035","毛地黃中毒時，因心跳過慢導致心律不整，下列何者為正確且安全的治療策略?",35,114,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-115-2-basic-medicine-029","第二型糖尿病的致病機轉，與下列何者最不相關？",29,115,"2026-09-04",1788510719406]