[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-078","nurse-106-2-basic-medicine-078",106,2,78,"治療愛滋病之藥物 zidovudine（AZT）的作用為：",{"A":15,"B":16,"C":17,"D":18},"阻斷病毒吸附宿主","阻斷病毒脫殼","阻斷病毒核酸複製","直接抑制病毒蛋白外衣合成","C",null,[],"本題考點為抗愛滋藥 zidovudine(AZT)的作用機轉。AZT 為核苷類反轉錄酶抑制劑(NRTI),經細胞內磷酸化後假冒胸苷嵌入,因缺 3'-OH 而中止病毒 RNA 反轉錄為 DNA 的核酸鏈延長,選 C。A 阻斷吸附為進入抑制劑(如 maraviroc)的作用。B 阻斷脫殼非其機轉。D 直接抑制蛋白外衣合成亦非其標的,AZT 專一作用於反轉錄的核酸複製步驟,故選 C。","HIV 生活史各步驟對應不同藥物:吸附\u002F進入(maraviroc、enfuvirtide)、反轉錄(NRTI 如 zidovudine、NNRTI 如 efavirenz)、整合(integrase 抑制劑如 raltegravir)、成熟(protease 抑制劑)。AZT 屬鏈終止型 NRTI,因缺 3'-OH 阻止下一核苷接上。副作用經典為骨髓抑制致貧血。記憶:AZT 卡在『反轉錄』,是假胸苷的鏈終止者。",[25,28,30,32],{"term":26,"count":27},"zidovudine AZT",1,{"term":29,"count":27},"核苷類反轉錄酶抑制劑 NRTI",{"term":31,"count":27},"鏈終止",{"term":33,"count":27},"HIV 反轉錄",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-079","有關抗病毒藥物的敘述，何者正確？",79,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-107-2-basic-medicine-015","下列何者參與形成血腦障壁？",15,107,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-108-1-basic-medicine-029","下列有關心臟的敘述，何者正確？",29,108,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-109-1-basic-medicine-067","小鼠如果在出生後，立即切除胸腺（thymectomy），主要會影響那一種免疫反應？",67,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-2-basic-medicine-031","有關腸道中脂解酶（lipase）的敘述，下列何者正確？",31,110,{"webId":60,"stem":61,"number":42,"year":62,"session":27},"nurse-112-1-basic-medicine-015","作夢通常發生於那一個睡眠階段？",112,"2026-09-04",1788510696898]