[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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":11},"nurse-106-1-基礎醫學-049","nurse-106-1-basic-medicine-049",106,1,49,"藥物的生體可用率（bioavailability）不受下列何種因素影響？",{"A":15,"B":16,"C":17,"D":18},"藥物的作用方式","肝臟代謝首度效應（first-pass hepatic metabolism）","藥物的溶解度","藥物的安定性","A",null,[],"本題考點為影響藥物生體可用率(bioavailability)的因素,屬選「不受影響」題。依藥物動力學,生體可用率指藥物進入全身循環的比例與速率,受首渡代謝、藥物溶解度與安定性等影響;而「藥物的作用方式」屬藥效學範疇,決定藥理效果而非吸收進入循環的比例,故正解為 A。肝臟首渡效應會在藥物到達循環前先代謝掉部分劑量,B 有影響。溶解度影響吸收,C 有影響。安定性影響是否在吸收前分解,D 有影響。","觀念切分:生體可用率是「進入循環多少」屬藥動學吸收面;作用方式(機轉)是「進去後做什麼」屬藥效學,兩者維度不同。靜脈注射生體可用率定義為 100%;口服則因首渡效應與溶解、崩散、安定性而打折,是常考比較點。",[25,27,29,31],{"term":26,"count":11},"生體可用率 bioavailability",{"term":28,"count":11},"首渡代謝",{"term":30,"count":11},"藥物溶解度與安定性",{"term":32,"count":11},"藥動學vs藥效學",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-basic-medicine-050","下列何種交感神經藥物，可用於急性鬱血性心衰竭病人以增加其心輸出量？",50,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-106-2-basic-medicine-066","下列分子可與 B7-1\u002FB7-2（CD80\u002FCD86）結合後，抑制 T 細胞活化的為：",66,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-basic-medicine-080","在精神病院、難民營和擁擠的日間照護中心，要特別注意下列那種寄生蟲的感染？",80,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-basic-medicine-038","下列何者最常引起兒童腎病症候群（nephrotic syndrome）？",38,108,{"webId":54,"stem":55,"number":42,"year":56,"session":11},"nurse-110-1-basic-medicine-002","下列椎骨中，何者的棘突（spinous process）最長？",110,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-111-1-basic-medicine-036","社區型急性肺炎（community-acquired acute pneumonia）最常由下列何種微生物的感染所引起？",36,111,"2026-09-04",1788510691351]