[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-111-1-基礎醫學-024","nurse-111-1-basic-medicine-024",111,1,24,"下列有關微血管及組織液交換的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"組織液的膠體滲透壓比血漿大","組織液的靜水壓比血漿小","組織液中葡萄糖與鹽的濃度與血漿相同","組織液中蛋白質的濃度比血漿低","A",null,[],"本題考點在於微血管與組織液之間的物質交換與 Starling 力,要找出錯誤敘述。血漿含大量蛋白質(尤其白蛋白)而組織液蛋白質極少,故血漿的膠體滲透壓應大於組織液;A 說「組織液膠體滲透壓比血漿大」與事實相反,為錯誤,是正解。B 正確,組織液靜水壓通常接近 0 甚至略負,比微血管內血漿靜水壓小。C 正確,葡萄糖與小分子鹽類可自由通過微血管壁,兩側濃度大致相同。D 正確,微血管壁對蛋白質通透性低,故組織液蛋白濃度低於血漿。故答案為 A。","Starling 假說:液體淨移動 =(微血管靜水壓−組織液靜水壓)−(血漿膠體滲透壓−組織液膠體滲透壓)。微血管動脈端靜水壓高、液體濾出;靜脈端靜水壓降,血漿膠體滲透壓(由白蛋白維持)佔優勢而回吸,少量未回收液體由淋巴系統帶走。若血漿白蛋白過低(如肝硬化、腎病症候群、營養不良),血漿膠體滲透壓下降、回吸不足即造成水腫。理解「蛋白質留在血管內拉住水分」即掌握此組題的核心。",[25,28,31,34],{"term":26,"count":27},"膠體滲透壓",8,{"term":29,"count":30},"Starling 力",5,{"term":32,"count":33},"微血管通透性",2,{"term":35,"count":11},"血漿白蛋白",[37,41,45,50,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-1-basic-medicine-025","正常成年男子之腎絲球過濾率（glomerular filtration rate）約為多少 mL\u002Fmin？",25,{"webId":42,"stem":43,"number":44,"year":10,"session":33},"nurse-111-2-basic-medicine-041","下列那一種作用過程，不能用來傳遞細菌的遺傳物質？",41,{"webId":46,"stem":47,"number":48,"year":49,"session":33},"nurse-112-2-basic-medicine-035","下列抗組織胺藥物中，何者可用於改善蕁麻疹（Urticaria）症狀，亦常用於預防暈車暈船？",35,112,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-basic-medicine-033","下列藥物中，何者不作為躁鬱症（mania and bipolar disorder）的治療用藥？",33,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-115-1-basic-medicine-037","下列何種抗組織胺（antihistamines）較不易有昏睡之副作用？",37,115,{"webId":62,"stem":63,"number":64,"year":65,"session":33},"nurse-106-2-basic-medicine-051","吸入性全身麻醉劑的 MAC（minimal alveolar concentration）數值越小，其所代表的意義為何？",51,106,"2026-09-04",1788510732888]