[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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,"freq":23},"nurse-114-3-基礎醫學-018","nurse-114-3-basic-medicine-018",114,3,18,"當腎臟分泌的氫離子與磷酸氫根結合後排出體外，血漿的淨反應為何？",{"A":15,"B":16,"C":17,"D":18},"碳酸氫根增加、酸鹼值上升","碳酸氫根增加、酸鹼值下降","碳酸氫根減少、酸鹼值下降","碳酸氫根減少、酸鹼值上升","A",null,[],"本題考點在於腎臟以可滴定酸形式排氫並再生碳酸氫根的酸鹼調節。腎小管分泌的氫離子與管腔內磷酸氫根(HPO₄²⁻)結合成二氫磷酸(H₂PO₄⁻)隨尿排出,此為可滴定酸排泄;每排出一個H⁺,腎小管細胞內即生成並回收一個新的碳酸氫根(HCO₃⁻)進入血漿,使血漿碳酸氫根增加、酸鹼值上升(趨鹼),故選A。B、C將酸鹼值方向寫成下降,與排酸保鹼的淨效果相反;C、D又誤把碳酸氫根寫成減少,皆與機轉不符,故錯。",1,[25,29,33,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":32,"year":28,"session":23},"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）？",2,{"webId":34,"stem":35,"number":11,"year":28,"session":23},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",{"webId":37,"stem":38,"number":39,"year":28,"session":23},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":28,"session":23},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":28,"session":23},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840772852]