[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-111-2-基礎醫學-006","nurse-111-2-basic-medicine-006",111,2,6,"手術時不小心移除下列何者，最可能直接造成血鈣濃度下降？",{"A":15,"B":16,"C":17,"D":18},"胸腺","腎上腺皮質","胰島","副甲狀腺","D",null,[],"本題考點為調控血鈣的內分泌腺定位。依內分泌生理，副甲狀腺分泌副甲狀腺素（PTH），是升高血鈣最主要的激素，可促進蝕骨作用釋鈣、增加腎小管回收鈣並活化維生素 D 以增進腸道鈣吸收；手術（如甲狀腺切除）誤除副甲狀腺會使 PTH 驟降、血鈣下降並引發手足抽搐，故選 D。A 胸腺主司 T 淋巴球成熟，與血鈣無關；B 腎上腺皮質分泌醛固酮與皮質醇，非鈣調節主角；C 胰島調節血糖，亦與血鈣無直接關係。","血鈣恆定靠 PTH、活性維生素 D（calcitriol）與抑鈣素三者拮抗，其中 PTH 為升鈣主力。副甲狀腺常緊貼甲狀腺後方，甲狀腺全切除的典型併發症即為低血鈣，臨床觀察 Chvostek 徵象與 Trousseau 徵象可辨識神經肌肉過度興奮。記憶：PTH「升鈣降磷」，抑鈣素「降鈣」，方向相反便於對比。",[25,28,31,33],{"term":26,"count":27},"血鈣恆定",3,{"term":29,"count":30},"副甲狀腺素(PTH)",1,{"term":32,"count":30},"低血鈣手足抽搐",{"term":34,"count":30},"甲狀腺手術併發症",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-basic-medicine-007","腭骨（palatine bone）不參與下列何者的組成？",7,{"webId":41,"stem":42,"number":27,"year":43,"session":11},"nurse-112-2-basic-medicine-003","下列何者不具細胞核？",112,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-112-3-basic-medicine-047","下列那一型乳突病毒（HPV）和子宮頸癌的形成最有關係？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-114-1-basic-medicine-045","有關金黃色葡萄球菌（Staphylococcus aureus）感染所造成的臨床表徵，下列何者症狀通常不是由其分泌的毒素所導致？",45,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-115-2-basic-medicine-049","下列那一肝炎病毒其遺傳物質為 RNA 且臺灣具有市售疫苗可以預防感染？",49,115,{"webId":59,"stem":60,"number":61,"year":62,"session":30},"nurse-107-1-basic-medicine-033","在急性發炎，白血球發生外滲（extravasation）過程中，下列那一歩驟最先發生？",33,107,"2026-09-04",1788510737029]