[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-018":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-111-2-基礎醫學-018","nurse-111-2-basic-medicine-018",111,2,18,"人體內胰島 β 細胞被破壞時，不會產生下列何種反應？",{"A":15,"B":16,"C":17,"D":18},"血漿中游離脂肪酸增加","血漿中胺基酸濃度下降","血漿的滲透度上升","血漿中升糖素（glucagon）增加","B",null,[],"本題考點為胰島 β 細胞破壞（第一型糖尿病）後的代謝變化。依內分泌生理，胰島素缺乏使組織無法利用葡萄糖，身體轉而分解脂肪與蛋白質：脂肪分解使游離脂肪酸增加（A 會發生）；蛋白質分解使血漿胺基酸上升而非下降，故 B「胺基酸濃度下降」不會發生，為正解。C 高血糖使血漿滲透度上升（會發生）；D 胰島素缺乏解除對 α 細胞的抑制，升糖素相對增加（會發生），故選 B。","胰島素是唯一的合成儲能激素，缺乏時進入分解代謝：糖解與肝醣合成下降、糖質新生與脂解、蛋白分解上升，導致高血糖、高游離脂肪酸與酮體生成（酮酸中毒）。胺基酸因蛋白分解增加而上升。胰島素與升糖素在胰島內互相調節，β 細胞缺失使升糖素失去制衡。記憶第一型糖尿病即「無胰島素的分解狂潮」。",[25,28,30,32],{"term":26,"count":27},"胰島素缺乏",1,{"term":29,"count":27},"第一型糖尿病",{"term":31,"count":27},"脂解與蛋白分解",{"term":33,"count":27},"升糖素相對增加",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-basic-medicine-019","下列那一種人類細胞中，巴氏體（barr body）的數量會超過一個？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-2-basic-medicine-015","有關人類精子的敘述，下列何者正確？",15,112,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-113-1-basic-medicine-009","正常吸氣的過程中，不會出現下列何種情況？",9,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-2-basic-medicine-007","有關左、右腎臟的敘述，下列何者錯誤？",7,114,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-106-1-basic-medicine-011","大腸的那一構造，是由縱走的平滑肌束構成？",11,106,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-107-1-basic-medicine-045","下列何種睪丸腫瘤中，最可能造成人類絨毛膜性腺激素（human chorionic gonadotropin, hCG）之升高？",45,107,"2026-09-04",1788510737129]