[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-106-2-基礎醫學-056","nurse-106-2-basic-medicine-056",106,2,56,"神經內科病人陳述時常嚴重單側頭痛，確診後為偏頭痛（migraine）。其治療處方為 sumatriptan，可使腦血管收縮，緩解頭痛。此藥物為下列何種自泌素之致效劑（agonist）？",{"A":15,"B":16,"C":17,"D":18},"前列腺素（prostaglandin）","組織胺（histamine）","血清素（serotonin）","緩激肽（bradykinin）","C",null,[],"本題考點為抗偏頭痛藥 sumatriptan 的受體機轉。sumatriptan 為血清素(serotonin,5-HT1B\u002F1D)受體致效劑,活化後使擴張的顱內血管收縮並抑制三叉神經血管性發炎與神經胜肽釋放,緩解偏頭痛,選 C。A 前列腺素多與發炎、致痛相關,非其標的。B 組織胺與過敏、血管擴張有關。D 緩激肽為致痛與增加血管通透性的介質,均非 sumatriptan 所作用的自泌素,故錯。","triptan 類選擇性作用於 5-HT1B(血管平滑肌,使腦血管收縮)與 5-HT1D(三叉神經末梢,抑制 CGRP 等致炎胜肽釋放),對應偏頭痛『血管擴張+神經性發炎』的機轉。因會使血管收縮,冠心病、未控制高血壓者禁用。記憶:偏頭痛救急靠『血清素 1B\u002F1D 致效』收血管。新一代 gepant(CGRP 拮抗劑)則從另一端切入。",[25,28,30,32],{"term":26,"count":27},"血清素 5-HT1B\u002F1D 受體",1,{"term":29,"count":27},"sumatriptan",{"term":31,"count":27},"顱內血管收縮",{"term":33,"count":27},"三叉神經血管學說",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-057","下列抗心律不整藥物，何者可以降低動作電位第四期的去極化，而減少竇房結的自主性？",57,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-073","鏈桿菌（Streptobacillus spp.）和螺旋菌（Spirillum spp.）的比較，下列何者敘述錯誤？",73,107,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-108-1-basic-medicine-007","有關胸膜與腹膜的敘述，下列何者錯誤？",7,108,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-109-1-basic-medicine-045","一位 25 歲的女性近來莫名嗜睡且神智不清，影像學檢查發現胰臟有一個 2 公分的腫瘤，手術摘除後症狀完全消失，病理檢查結果為胰臟的神經內分泌瘤（neuroendocrine tumor）。她最可能罹患的是：",45,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-2-basic-medicine-009","下列何者不是皮膚表皮（epidermis）的細胞層？",9,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-043","關於第 I 類 MHC 分子呈現經由內源性路徑產生的抗原，下列敘述何者正確？",43,111,"2026-09-04",1788510696654]