[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-015":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":11},"nurse-113-2-基礎醫學-015","nurse-113-2-basic-medicine-015",113,2,15,"下列何種激素最主要透過肌醇三磷酸（IP 3 ）和鈣離子（Ca 2+ ）執行其生理功能？",{"A":15,"B":16,"C":17,"D":18},"皮質醇（cortisol）","胰島素（insulin）","雌激素（estrogen）","性釋素（GnRH）","D",null,[],"本題考點在於激素的訊息傳遞機轉,特別是經肌醇三磷酸(IP₃)與鈣離子途徑者。性釋素(GnRH)為胜肽類激素,與細胞膜上 Gq 蛋白偶聯受體結合,活化磷脂酶 C,產生 IP₃ 促使內質網釋放鈣離子執行生理作用,故選 D。A 皮質醇與 C 雌激素皆為類固醇激素,可穿透細胞膜作用於胞內受體調控基因轉錄;B 胰島素透過受體酪胺酸激酶途徑作用,皆非 IP₃\u002F鈣離子第二傳訊者機轉。","激素作用機轉三大類:類固醇與甲狀腺素(脂溶性,入胞作用於核受體、調基因)、胜肽與兒茶酚胺(水溶性,經膜受體與第二傳訊者)。第二傳訊者又分 cAMP 途徑與 Gq→PLC→IP₃\u002FDAG→Ca²⁺ 途徑。GnRH、GnRH 類胜肽多走 Gq\u002FIP₃ 路徑,對比類固醇的基因調控可清楚判別。",[25,27,30,32],{"term":26,"count":11},"GnRH",{"term":28,"count":29},"激素訊息傳遞",1,{"term":31,"count":29},"IP3 與鈣離子",{"term":33,"count":29},"Gq 蛋白偶聯受體",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-basic-medicine-016","有關增強抗凝血作用，下列敘述何者正確？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-basic-medicine-012","關於腦下垂體（pituitary gland）的描述，下列何者錯誤？",12,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-006","女性青春期時，下列那三種體內的激素，在排卵（ovulation）之前會大量上升？",6,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-1-basic-medicine-054","抗焦慮用藥 benzodiazepine 的藥理作用機轉為何？",54,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-018","下列何種毒素會抑制乙醯膽鹼酯酶（acetylcholinesterase, AChE）？",18,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-052","有關 H 1 組織胺受體拮抗藥物（anti-histamine）的治療用途，下列何者錯誤？",52,108,"2026-09-04",1788510753992]