[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-115-1-基礎醫學-017","nurse-115-1-basic-medicine-017",115,1,17,"下列有關子宮內膜（endometrium）的敘述，何者正確？",{"A":15,"B":16,"C":17,"D":18},"月經期（menstrual phase）整個子宮內膜會崩解","增生期（proliferative phase）的子宮內膜很薄，尚未分布血管","排卵（ovulation）時，子宮內膜厚度達到極致","分泌期（secretory phase）的子宮內膜腺可分泌肝醣","D",null,[],"本題考點在於子宮內膜週期性變化的組織學特徵。依月經週期分期,分泌期在黃體素作用下腺體變得彎曲擴張、腺細胞蓄積肝醣並分泌富含肝醣的液體,為受精卵著床提供養分,故 D 正確。A 錯在崩解範圍,月經期僅功能層剝落,基底層保留以供下一週期再生。B 錯在血管分布,增生期內膜在雌激素作用下增厚,螺旋小動脈與腺體同步生長,並非尚未有血管。C 錯在時間點,內膜厚度在分泌期中後期才達最大值,排卵時內膜仍處於繼續增厚的階段。","把荷爾蒙與內膜對起來記:濾泡期由雌激素主導,對應內膜增生期(腺體直、內膜變厚);排卵後黃體形成,黃體素主導,對應分泌期(腺體彎曲、蓄積肝醣、螺旋小動脈盤曲);黃體退化後兩種荷爾蒙同時下降,螺旋小動脈收縮造成功能層缺血壞死而剝落,進入月經期。功能層與基底層的分工是關鍵:基底層由直小動脈供血、不受週期荷爾蒙劇烈影響,因此能反覆再生——搔刮或人工流產若傷及基底層,才會形成子宮腔沾黏而月經稀少。延伸可連結基礎體溫雙相變化、黃體素對子宮頸黏液與體溫的作用、著床窗期概念。",[25,28,30,32,34],{"term":26,"count":27},"月經週期",4,{"term":29,"count":11},"子宮內膜分泌期",{"term":31,"count":11},"黃體素作用",{"term":33,"count":11},"增生期與雌激素",{"term":35,"count":11},"功能層與基底層",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-1-basic-medicine-018","下列那一結構可增加小腸內表面積，提高吸收效率？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-106-1-basic-medicine-014","下列那一構造發生腫瘤時，經常會壓迫到顏面神經？",14,106,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-106-2-basic-medicine-028","下列何者會導致腎絲球過濾率（glomerular filtration rate）下降？",28,2,{"webId":52,"stem":53,"number":54,"year":55,"session":50},"nurse-107-2-basic-medicine-066","下列何者是抗體的功能？",66,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-1-basic-medicine-030","下列那個維生素（vitamin）會出現在乳糜微粒（chylomicron）中？",30,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-1-basic-medicine-064","下列何者與磺胺藥（sulfadoxine）混合使用，以治療弓形蟲（Toxoplasma gondii）之感染？",64,110,"2026-08-06",1787299087634]