[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"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-114-2-基礎醫學-011","nurse-114-2-basic-medicine-011",114,2,11,"次級主動運輸（secondary active transport）的直接動力來自：",{"A":15,"B":16,"C":17,"D":18},"電化學梯度","三磷酸腺苷（ATP）","三磷酸鳥苷（GTP）","滲透壓","A",null,[],"本題考點在於次級主動運輸的能量來源機轉。依細胞膜運輸原理，次級主動運輸（secondary active transport）不直接消耗ATP，而是利用初級主動運輸（如鈉鉀幫浦）先建立的離子電化學梯度作為直接動力，帶動其他物質共同或逆向運輸，故選A。B ATP是初級主動運輸的直接能源；C GTP多用於訊息傳遞與蛋白質合成；D 滲透壓驅動的是水分被動移動，皆非其直接動力。故答案為A。","初級 vs 次級：初級主動運輸直接水解ATP（鈉鉀幫浦、鈣幫浦）；次級借鈉鉀幫浦造出的鈉梯度作動力，如鈉葡萄糖同向運輸（SGLT）、鈉鈣逆向運輸。ATP是『間接』動力（先建梯度），電化學梯度才是『直接』動力，是本題文字陷阱。",[25,28,30,32],{"term":26,"count":27},"次級主動運輸",4,{"term":29,"count":27},"鈉鉀幫浦",{"term":31,"count":11},"初級主動運輸",{"term":15,"count":33},1,[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-basic-medicine-012","鈣離子活化平滑肌細胞橫橋（cross-bridge）反應，下列何者為其主要作用？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-115-1-basic-medicine-008","下列何種激素最可能造成孕婦發生妊娠糖尿病？",8,115,{"webId":45,"stem":46,"number":11,"year":47,"session":33},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",106,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-107-1-basic-medicine-040","下列何種傳染病最有可能侵犯主動脈之血管滋養管（vasa vasorum）導致動脈瘤之產生？",40,107,{"webId":54,"stem":55,"number":27,"year":56,"session":11},"nurse-108-2-basic-medicine-004","下列何者附著於肱骨的內上髁（medial epicondyle）？",108,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-109-2-basic-medicine-038","有關威爾斯瘤（Wilms tumor）之敘述，下列何者正確？",38,109,"2026-09-04",1788510758619]