[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-107-2-基礎醫學-054","nurse-107-2-basic-medicine-054",107,2,54,"下列何者不是 aspirin 的藥理作用？",{"A":15,"B":16,"C":17,"D":18},"止痛（analgesic）","抗發炎（anti-inflammatory）","止血（anti-coagulation）","解熱（antipyretic）","C",null,[],"本題考點是 aspirin 的藥理作用範圍。依藥理學,aspirin 為非類固醇抗發炎藥,抑制環氧化酶（COX)減少前列腺素合成,故具止痛、抗發炎、解熱三大作用,A、B、D 皆為其藥理作用。而 aspirin 抑制血小板 COX-1 使血栓素 A2 生成減少,作用是「抗血小板凝集（anti-platelet)」而非影響凝血因子的「抗凝血（anti-coagulation)」;選項 C 誤稱其為止血作用更是完全相反——aspirin 是抑制血小板、延長出血時間,故 C 不是其作用,選 C。","機轉:aspirin 不可逆乙醯化 COX,抑制前列腺素與血栓素合成。四大作用中三項成立:解熱（降下視丘前列腺素)、止痛（周邊致痛物質減少)、抗發炎（高劑量);第四是抗「血小板」凝集——低劑量即不可逆抑制血小板 COX-1,使血栓素 A2↓、抑制血小板聚集,因血小板無核不能再合成酵素,作用可持續其壽命約 7–10 天。名詞辨析:抗血小板（antiplatelet)≠抗凝血（anticoagulant,如 warfarin、heparin 作用於凝血因子);選項 C 用「止血 anti-coagulation」既張冠李戴又語意矛盾。副作用連結:胃黏膜前列腺素↓致潰瘍、雷氏症候群（兒童病毒感染禁用)。可連結:COX-1／COX-2、血栓素、前列腺素。",[25,28,31,33],{"term":26,"count":27},"血栓素 A2",3,{"term":29,"count":30},"aspirin 藥理作用",1,{"term":32,"count":30},"環氧化酶 COX 抑制",{"term":34,"count":30},"抗血小板非抗凝血",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-basic-medicine-055","血管緊縮素轉換抑制劑（ACE inhibitor），除可降血壓外亦可用於鬱血性心臟衰竭（CHF），下列敘述何者錯誤？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-108-1-basic-medicine-071","HIV 的感染主要藉由其表面之 gp120 與下列那一分子作用結合而感染宿主細胞？",71,108,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-109-1-basic-medicine-005","下列那一條動脈的分枝會造成男性陰莖海綿體充血勃起？",5,109,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-110-1-basic-medicine-043","下列何種腫瘤的細胞來源是上皮細胞（epithelial cells）？",43,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-111-2-basic-medicine-007","腭骨（palatine bone）不參與下列何者的組成？",7,111,{"webId":61,"stem":62,"number":30,"year":63,"session":30},"nurse-113-1-basic-medicine-001","下列胞器，何者是由兩層膜組成？",113,"2026-09-04",1788510723796]