[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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-110-2-基礎醫學-029","nurse-110-2-basic-medicine-029",110,2,29,"有關表面作用劑（surfactant）敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"增加肺順應性（lung compliance）","穩定大肺泡，預防萎縮","減少小肺泡的表面張力（surface tension）","深呼吸可增加表面作用劑分泌","B",null,[],"本題考點在肺表面作用劑(surfactant)的功能,要求找出錯誤敘述。依Laplace定律,壓力與表面張力成正比、與半徑成反比,表面作用劑由第二型肺泡細胞分泌,能降低表面張力,且在小肺泡濃度效應更強,故能穩定『小』肺泡、防止其塌陷萎縮。選項B說『穩定大肺泡,預防萎縮』方向錯誤,應為穩定小肺泡,故B為錯誤敘述、即為答案。A正確,降低表面張力可提高肺順應性;C正確,減少小肺泡表面張力正是其核心作用;D正確,深呼吸與嘆息可刺激其分泌。故選B。","Laplace:P=2T\u002Fr。若無surfactant,小肺泡(r小)壓力大,氣體會流向大肺泡使小肺泡塌陷。surfactant在小肺泡分子密度高、降張力效果更強,拉平大小肺泡壓力差、穩定小肺泡。臨床連結:早產兒因surfactant不足致新生兒呼吸窘迫症候群(NRDS),產前類固醇可促其成熟。主成分為DPPC磷脂。",[25,28,30,33],{"term":26,"count":27},"第二型肺泡細胞",5,{"term":29,"count":11},"肺順應性",{"term":31,"count":32},"表面作用劑",1,{"term":34,"count":32},"Laplace定律",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-030","造成氧合解離曲線（oxygen-hemoglobin dissociation curve）向左偏移，下列何者正確？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-basic-medicine-046","下列有關妊娠滋養層疾病（Gestational trophoblastic disease）之敘述，何者錯誤？",46,111,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-112-1-basic-medicine-010","總膽管是由下列何者會合而形成？",10,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-2-basic-medicine-008","下列何器官只被腹膜（peritoneum）覆蓋住其前表面？",8,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-basic-medicine-012","下列何者是肌肉收縮過程中、短時間（數毫秒內）提供能量的最主要來源？",12,114,3,{"webId":62,"stem":63,"number":64,"year":65,"session":32},"nurse-106-1-basic-medicine-056","下列何種利尿劑可減少尿路結石及骨質疏鬆的發生率？",56,106,"2026-09-04",1788510727560]