[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-basic-medicine-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-115-2-基礎醫學-017","nurse-115-2-basic-medicine-017",115,2,17,"下列何者不是造成男性不孕症的原因？",{"A":15,"B":16,"C":17,"D":18},"濾泡刺激素（FSH）低於生理濃度","精液所含精子量低於 1×10 7 \u002Fml","精液的 pH 值約為 7.3～7.5","活動的精子比例約為 30%","C",null,[],"本題考點是精液分析參考值的判讀,問的是不屬於男性不孕原因的選項。精液偏鹼可中和陰道酸性以保護精子,參考值約 7.2 以上,pH 7.3 至 7.5 落在正常範圍內,不構成不孕因素,故選 C。A 濾泡刺激素低於生理濃度會使睪丸曲小管的精子生成受抑制,屬低促性腺素性的中樞原因。B 精子濃度低於每毫升一千萬,已低於參考下限,屬精子過少症。D 活動精子比例僅約三成,低於總活動力參考下限,屬精子活動力不足,以上三者都會降低受孕機會。","精液分析常考四個維度:量、濃度、活動力、形態,加上 pH 與液化時間。判斷題型的解法是逐項比對參考下限:pH 偏酸(低於 7.2)才需懷疑射精管阻塞或精囊腺功能不足;偏鹼合併白血球增加才懷疑感染,單純 7.3 至 7.5 是正常。荷爾蒙軸方面,FSH 作用於支持細胞支持精子生成、LH 作用於間質細胞產生睪固酮,兩者任一不足都會影響生育。延伸可連結精索靜脈瘤、隱睪與高溫環境對精子生成的影響。",[25,28,30,32,34],{"term":26,"count":27},"精液分析參考值",1,{"term":29,"count":27},"精液 pH",{"term":31,"count":27},"精子過少症",{"term":33,"count":27},"濾泡刺激素",{"term":35,"count":27},"精子活動力",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-2-basic-medicine-018","下列那一種條件會導致腎絲球過濾率下降？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-106-1-basic-medicine-064","帕金森氏症（Parkinson disease）之治療目標，在於重建病人腦中那兩種神經傳遞物質之正常平衡？",64,106,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-106-2-basic-medicine-078","治療愛滋病之藥物 zidovudine（AZT）的作用為：",78,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-108-1-basic-medicine-036","肛門痔瘡（Hemorrhoid）的病理機轉與下列那個情況不同？",36,108,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-109-1-basic-medicine-080","下列何種細菌因缺乏細胞壁，因此無法使用青黴素來治療？",80,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-2-basic-medicine-034","臨床上引起肺栓塞（pulmonary embolism）栓子（embolus）最常見的來源，下列何者正確？",34,110,"2026-08-06",1787299017524]