[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-021":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":26},"nurse-107-1-基礎醫學-021","nurse-107-1-basic-medicine-021",107,1,21,"副交感神經分泌何種神經傳導物質，會刺激淚腺大量分泌淚液？",{"A":15,"B":16,"C":17,"D":18},"正腎上腺素","多巴胺","乙醯膽鹼","腎上腺素","C",null,[],"本題考點是副交感神經節後纖維對淚腺的神經傳導物質。依自主神經藥理，副交感節後纖維釋放乙醯膽鹼，作用於淚腺腺體的蕈毒鹼受體促進大量水樣淚液分泌，故選 C。正腎上腺素（A）與腎上腺素（D）屬交感／腎上腺髓質兒茶酚胺，主導「戰或逃」而非促分泌；多巴胺（B）為中樞神經傳導物質與腎血流調節，與淚腺分泌無直接關係。判斷關鍵在於認得副交感節後傳導物質恆為乙醯膽鹼。","淚腺分泌路徑：CN VII（面神經）副交感纖維經岩大神經→翼腭神經節換元→顴神經、淚腺神經到淚腺，節後釋 ACh 作用於 M₃ 受體。自主神經通則：所有節前纖維與副交感節後纖維皆為膽鹼性（ACh），僅交感節後多為腎上腺素性（正腎上腺素，汗腺例外為膽鹼性）。記法：「副交感全程 ACh」，可一併解釋流淚、流涎、瞳孔縮小等膽鹼性反應。",[25,27,30,32],{"term":17,"count":26},8,{"term":28,"count":29},"翼腭神經節",3,{"term":31,"count":11},"副交感節後纖維",{"term":33,"count":11},"淚腺分泌",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-basic-medicine-022","終板電位（end-plate potential）屬於下列何種電位？",22,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-107-2-basic-medicine-038","急性酒精中毒最主要影響人體的何部位？",38,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-basic-medicine-052","下列刺激胃腸蠕動的藥物中，何者的作用機轉為拮抗多巴胺 D 2 受體？",52,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-basic-medicine-010","房室結（atrioventricular node）位於心臟的何處？",10,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-basic-medicine-054","如果一個藥物的半衰期為 10 小時，以靜脈輸注此藥物後，在血液中達到穩定濃度所需的時間約多久？",54,110,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-112-1-basic-medicine-038","下列何種藥物可降低腸道中水分的分泌，用於治療旅行時之腹瀉？",112,"2026-09-04",1788510701027]