[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-111-1-基礎醫學-027","nurse-111-1-basic-medicine-027",111,1,27,"下列何者不屬於胰臟的外分泌蛋白質？",{"A":15,"B":16,"C":17,"D":18},"胰島素（insulin）","胰蛋白酶（trypsin）","胰乳麋蛋白酶（chymotrypsin）","胰澱粉酶（pancreatic alpha-amylase）","A",null,[],"本題考點在於區分胰臟的外分泌與內分泌產物。胰島素(insulin)由胰島的 β 細胞分泌,經血流作用調節血糖,屬內分泌激素而非外分泌蛋白質,故它「不屬外分泌」,選 A。B 胰蛋白酶、C 胰乳糜蛋白酶、D 胰澱粉酶都由胰腺腺泡細胞製造,經胰管排入十二指腸參與消化,屬外分泌酵素。外分泌走導管進入消化道,內分泌走血流作用全身,胰島素明顯屬後者,故正解為 A。","胰臟身兼兩職:外分泌部(腺泡+導管)分泌胰液,含胰蛋白酶原、胰凝乳蛋白酶原、羧肽酶、胰澱粉酶、胰脂酶及碳酸氫鹽,經胰管入十二指腸消化醣、蛋白、脂肪。蛋白酶以「酶原」形式分泌以免自我消化,進入腸道後由腸激酶活化胰蛋白酶原,再連鎖活化其餘。內分泌部(胰島)則有 β 細胞(胰島素)、α 細胞(升糖素)、δ 細胞(體抑素)、PP 細胞。分辨「走導管 vs 走血流」即可秒判此類外\u002F內分泌題。",[25,28,30,32],{"term":26,"count":27},"胰島素",2,{"term":29,"count":11},"內分泌",{"term":31,"count":11},"胰臟外分泌酵素",{"term":33,"count":11},"腺泡細胞",[35,39,43,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-028","下列有關色盲（color blindness）的敘述，何者正確？",28,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-111-2-basic-medicine-044","補體活化啟動一系列的蛋白質水解產生次單位「a」、「b」與其他次單位，具備不同的生物活性。下列何者是補體 C3b 主要的功能？",44,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-112-2-basic-medicine-038","下列何種避孕方式最適合用於年齡大於 35 歲且有抽菸習慣之女性？",38,112,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-basic-medicine-036","下列藥物中，何者為抗凝血劑（anticoagulant），主要用於預防深層靜脈栓塞（deep vein thrombosis）生成？",36,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-115-1-basic-medicine-040","下列何種抗生素會抑制細菌的 DNA 依賴型之 RNA 聚合酶（DNA-dependent RNA polymerase）的活性？",40,115,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-106-2-basic-medicine-054","下列用於 sleep disorders 之藥物，何者可明顯縮短入睡時間及減少睡眠中醒來次數，但會造成病人有白天中樞抑制（daytime sedation）之副作用？",54,106,"2026-09-04",1788510732910]