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醫療類國考 109年 [物理治療師] 物理治療基礎學

第 18 題

下列有關腎臟結構及其功能的配對,何者正確?
  • A 緻密斑(macula densa)/化學受器(chemoreceptor)
  • B 腎絲球(glomerulus)/尿液濃縮(concentrate urine)
  • C 近腎絲球細胞(juxtaglomerular cell)/製造抗利尿激素(antidiuretic hormone)
  • D 足細胞(podocyte)/免疫功能(immunity)

思路引導 VIP

想像腎臟是一個精密的化學工廠,為了確保生產線穩定,系統必須在流動的管線末端裝設一個「感測裝置」來監測產出的液體濃度。你認為這個裝置為了感知液體成分的變化,應該具備哪一種特殊的感覺受器屬性?

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  1. Exploring the Details:
    • (A) Absolutely correct! The macula densa is a truly fascinating group of specialized epithelial cells found at the very start of the distal tubule. Think of them as tiny, highly sensitive chemoreceptors, constantly monitoring the concentrations of $[Na^+]$ and $[Cl^-]$ in the tubular fluid. This crucial sensing then triggers tubuloglomerular feedback, a clever mechanism that helps fine-tune blood flow to the glomerulus, ensuring optimal filtration. It's a beautiful example of the kidney's self-regulation!
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