[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-016":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":27},"nurse-114-3-基礎醫學-016","nurse-114-3-basic-medicine-016",114,3,16,"下列何種蛋白是睪丸內與睪固酮結合的蛋白質？",{"A":15,"B":16,"C":17,"D":18},"白蛋白（albumin）","雄性素結合蛋白（androgen-binding protein）","性激素結合球蛋白（sex hormone-binding globulin）","皮質類固醇結合球蛋白（corticosteroid-binding globulin）","B",null,[],"本題考點在於睪丸內與睪固酮結合並維持高濃度環境的特定蛋白。Sertoli細胞受FSH刺激分泌雄性素結合蛋白(androgen-binding protein, ABP),在生精小管與副睪管腔內結合睪固酮,使局部維持高濃度雄性素以支持精子生成,故選B。白蛋白(A)是血中非專一的廣泛載體蛋白;性激素結合球蛋白(SHBG,C)在血漿中運送性類固醇;皮質類固醇結合球蛋白(D)專門運送皮質醇,三者皆為血液循環中的載體,並非睪丸局部作用的結合蛋白,故錯。","區分『局部』與『循環』是本題關鍵:ABP由Sertoli細胞分泌、作用在睪丸與副睪管腔內(局部);SHBG與CBG在血液中運送性荷爾蒙與皮質醇(全身)。ABP與SHBG基因同源、結構相近,但分布與功能不同,常被拿來對比命題,記『ABP在睪丸內鎖住睪固酮』即可。",[25,28,30,32],{"term":26,"count":27},"雄性素結合蛋白ABP",1,{"term":29,"count":27},"Sertoli細胞",{"term":31,"count":27},"睪固酮局部濃度",{"term":33,"count":27},"SHBG對比",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-3-basic-medicine-017","關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-basic-medicine-013","自律神經系統的副交感神經節後神經元（postganglionic parasympathetic neuron）所分泌的神經傳遞物質為何？",13,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-106-1-basic-medicine-057","下列有關新型抗凝血藥物 Argatroban 的敘述，何者正確？",57,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-basic-medicine-015","下列何者參與形成血腦障壁？",15,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-basic-medicine-059","靜脈注射 adenosine 可治療急性上心室（supraventricular）心律不整，主要作用機制為何？",59,108,{"webId":61,"stem":62,"number":42,"year":63,"session":27},"nurse-110-1-basic-medicine-013","下列那一種器官主要負責尿液（urine）的形成？",110,"2026-09-04",1788510761065]