[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-113-1-基礎醫學-005","nurse-113-1-basic-medicine-005",113,1,5,"下列何者最可能促進生長激素（growth hormone）分泌？",{"A":15,"B":16,"C":17,"D":18},"高血糖（hyperglycemia）","高強度運動（high intensity exercise）","體抑素（somatostatin）分泌增加","類胰島素生長因子1（IGF-1）分泌增加","B",null,[],"本題考點在於生長激素（growth hormone, GH）分泌的生理調節因子。依內分泌生理，運動（尤其高強度運動）、深睡期、低血糖、飢餓與某些胺基酸皆會刺激 GH 分泌，故選 B『高強度運動』。A 高血糖會抑制 GH 分泌；C 體抑素（somatostatin）本身即為抑制 GH 分泌的荷爾蒙；D IGF-1 是 GH 作用於肝臟後產生的下游因子，會經負回饋抑制 GH 分泌。三者皆為抑制方向，故促進分泌者選 B。","GH 分泌受下視丘 GHRH（促進）與 somatostatin（抑制）雙向調控，並受 IGF-1 負回饋。促分泌情境記憶：『運動、睡眠、飢餓、低血糖、壓力』會升高 GH；『高血糖、游離脂肪酸升高、皮質醇、IGF-1』則抑制。這也解釋為何 GH 有助動員能量、對抗胰島素作用。",[25,27,29,31],{"term":26,"count":11},"生長激素分泌調節",{"term":28,"count":11},"高強度運動刺激GH",{"term":30,"count":11},"體抑素抑制作用",{"term":32,"count":11},"IGF-1負回饋",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-1-basic-medicine-006","科林菲特氏症（Klinefelter's syndrome）患者的白血球細胞核旁，最多可以看到幾個巴氏體（barr body）？",6,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-113-3-basic-medicine-002","下列何者受坐骨神經（sciatic nerve）支配？",2,3,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-114-1-basic-medicine-046","病人最近得到泌尿道感染，醫師利用革蘭氏染色法檢驗尿液中的細菌，染到與番紅（safranin）呈現相同顏色的一株細菌，下列針對這株細菌的敘述，何者錯誤？",46,114,{"webId":49,"stem":50,"number":51,"year":52,"session":41},"nurse-115-2-basic-medicine-044","下列何種自體免疫疾病是由免疫複合物媒介（第三型過敏反應）？",44,115,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-1-basic-medicine-038","當大腸出現燒杯狀潰瘍時，最可能是下列何種微生物感染的特徵？",38,107,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-108-1-basic-medicine-072","下列何者是正確的病毒複製步驟？①去殼（uncoating） ②認識目標細胞 ③巨分子合成 ④附著（attachment）穿入（penetration） ⑤病毒組合 ⑥病毒釋出",72,108,"2026-09-04",1788510749404]