[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-004":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-114-1-基礎醫學-004","nurse-114-1-basic-medicine-004",114,1,4,"下列有關褪黑激素（melatonin）的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可由松果腺（pineal gland）分泌","血清素（serotonin）為其前驅物","夜晚睡眠時體內之濃度最低","可治療時差所造成的不適","C",null,[],"本題考點在於褪黑激素的來源、前驅物與分泌節律，為反向題，須找出錯誤敘述。褪黑激素由松果腺分泌，其濃度受光照調控，夜間黑暗時分泌最高、白天光照時最低，用以調節睡眠週期。C 敘述「夜晚睡眠時體內濃度最低」與生理事實相反，實際上夜間最高，故 C 錯誤為本題答案。A 松果腺分泌褪黑激素正確；B 褪黑激素由血清素（serotonin）經酵素轉化而來，血清素為其前驅物，敘述正確；D 補充褪黑激素可協助調整時差不適，臨床應用正確，故三者皆對。","褪黑激素合成路徑：色胺酸→5-羥色胺酸→血清素→褪黑激素，最後兩步在松果腺進行且受夜間去甲腎上腺素刺激。分泌節律由視交叉上核（SCN）依光照經視網膜訊號調控，光線抑制、黑暗促進，故稱「黑暗荷爾蒙」。記憶陷阱正是把「夜間最高」倒寫成「最低」，考時看到分泌時間點務必對照晝夜節律。",[25,28,30,33],{"term":26,"count":27},"褪黑激素",3,{"term":29,"count":27},"松果腺",{"term":31,"count":32},"晝夜節律",2,{"term":34,"count":11},"血清素前驅物",[36,40,43,48,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-1-basic-medicine-005","在人類胚胎期，下列何種激素最可能直接刺激外生殖構造發育為男性？",5,{"webId":41,"stem":42,"number":11,"year":10,"session":27},"nurse-114-3-basic-medicine-001","下列胞器（organelle）何者具有雙層膜的結構？",{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-115-1-basic-medicine-045","有關化膿性鏈球菌（Streptococcus pyogenes）的敘述，下列何者錯誤？",45,115,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-106-2-basic-medicine-063","下列何者是抗生素 quinolones 藥物的作用機轉？",63,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-1-basic-medicine-027","高蛋白質且低碳水化合物的飲食，可以刺激胰島素（insulin）分泌，但不會造成低血糖的最可能原因為何？",27,108,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-109-1-basic-medicine-061","下列何者為目前唯一可用於治療肌萎縮性側索硬化症之藥物？",61,109,"2026-09-04",1788510756231]