[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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-113-3-基礎醫學-038","nurse-113-3-basic-medicine-038",113,3,38,"進行女性不孕症治療療程中，下列何種藥物最適合促進卵巢濾泡成熟？",{"A":15,"B":16,"C":17,"D":18},"bromocriptine","leuprolide","follitropin","cetrorelix","C",null,[],"本題考點在於不孕症誘導排卵的藥理階層，關鍵在辨識哪一種藥能「直接」促進卵巢濾泡成熟。濾泡的生長成熟受腦下垂體分泌的濾泡刺激素（FSH）驅動，follitropin 即為基因重組人類 FSH，直接作用於卵巢濾泡促其發育成熟，是體外受精療程刺激多濾泡發育的核心用藥，選 C。bromocriptine 為多巴胺受體促效劑，用於抑制高泌乳素血症所致不孕，並非直接刺激濾泡；leuprolide 為 GnRH 促效劑，持續使用反而下調受體、抑制性腺激素分泌；cetrorelix 為 GnRH 拮抗劑，用於療程中防止過早出現 LH 高峰導致提早排卵。三者均非促進濾泡成熟的直接藥物。","誘導排卵藥理軸線：下視丘 GnRH →腦下垂體 FSH\u002FLH →卵巢。GnRH 促效劑（leuprolide）與拮抗劑（cetrorelix）都用來「控制」內源 LH 高峰，避免提早排卵；真正推濾泡長大的是外源性 FSH（follitropin）。口服 clomiphene 則是抗雌激素、間接提高內源 FSH，屬另一路徑。",[25,28,29,31],{"term":26,"count":27},"濾泡刺激素 FSH",1,{"term":17,"count":27},{"term":30,"count":27},"GnRH 促效劑與拮抗劑",{"term":32,"count":27},"誘導排卵",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-3-basic-medicine-039","下列抗癌藥物中，何者不屬於烷基化藥物（alkylating agents）？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-basic-medicine-035","關於 Diphenhydramine 的敘述，下列何者錯誤？",35,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-115-1-basic-medicine-029","第一型糖尿病最常見下列何種變化？",29,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-basic-medicine-047","有關髓芽母細胞瘤（medulloblastoma）的敘述，下列何者錯誤？",47,106,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-108-1-basic-medicine-011","卵巢排卵（ovulation）時，下列何者不會隨著卵母細胞（oocyte）一起排出？",11,108,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-109-1-basic-medicine-045","一位 25 歲的女性近來莫名嗜睡且神智不清，影像學檢查發現胰臟有一個 2 公分的腫瘤，手術摘除後症狀完全消失，病理檢查結果為胰臟的神經內分泌瘤（neuroendocrine tumor）。她最可能罹患的是：",45,109,"2026-09-04",1788510751811]