[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-031":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-110-2-基礎醫學-031","nurse-110-2-basic-medicine-031",110,2,31,"有關腸道中脂解酶（lipase）的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"主要由肝臟製造分泌","協助乳化脂肪","使乳糜微粒（chylomicron）分解成單酸甘油酯（monoglyceride）和游離脂肪酸（free fatty acid）","將三酸甘油酯（triglyceride）分解為單酸甘油酯和游離脂肪酸","D",null,[],"本題考點在胰脂解酶(pancreatic lipase)的來源與作用受質。依消化生理,脂解酶主要由胰臟腺泡細胞分泌至小腸,其作用是將三酸甘油酯(triglyceride)水解為兩分子游離脂肪酸與一分子單酸甘油酯(2-monoglyceride),故D正確。A錯誤,主要製造者是胰臟而非肝臟;B錯誤,乳化脂肪是膽鹽(bile salt)的功能,脂解酶負責化學分解而非乳化;C錯誤,乳糜微粒是脂質在腸細胞內重組後形成、進入淋巴的運輸顆粒,並非脂解酶的受質。故選D。","脂肪消化流程:膽鹽乳化脂肪成小滴增大表面積→胰脂解酶(需colipase輔助)水解TG成FFA與2-MG→與膽鹽形成微膠粒(micelle)運送至腸黏膜吸收→腸細胞內重組TG並包裹成chylomicron經淋巴入血。對比:乳化屬物理(膽鹽);分解屬化學(lipase)。可連結胰功能不全致脂肪瀉、orlistat抑制lipase減重。",[25,28,31,33],{"term":26,"count":27},"胰脂解酶",3,{"term":29,"count":30},"三酸甘油酯",1,{"term":32,"count":30},"膽鹽乳化",{"term":34,"count":30},"單酸甘油酯",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-032","下列那個物質不會出現在乳糜微粒（chylomicron）中？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-111-1-basic-medicine-048","下列何者是病理性骨折（pathological fracture）？",48,111,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-112-1-basic-medicine-012","升糖素（glucagon）會刺激下列那一器官產生肝醣分解作用（glycogenolysis）？",12,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-2-basic-medicine-010","傳導相鄰細胞間神經訊息的電性突觸是下列何種結構？",10,113,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-114-3-basic-medicine-014","下列何種腦電波圖型，不會出現在健康成人睡眠的非快速動眼（non-rapid eye movement, NREM）時期？",14,114,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-106-1-basic-medicine-058","下列緊急降血壓用藥，何者的藥效作用持續時間最短？",58,106,"2026-09-04",1788510727587]