[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":65},"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-108-1-基礎醫學-025","nurse-108-1-basic-medicine-025",108,1,25,"重症肌無力（Myasthenia gravis）肇因於何種神經傳導物質的受器受損，導致神經訊號無法傳遞至肌肉？",{"A":15,"B":16,"C":17,"D":18},"腎上腺素（epinephrine）","乙醯膽鹼（acetylcholine）","血清素（serotonin）","麩胺酸（glutamate）","B",null,[],"本題考點為重症肌無力的自體免疫機轉。依病理，重症肌無力是體內產生對抗神經肌肉接合處菸鹼型乙醯膽鹼受體（nicotinic ACh receptor）的自體抗體，使受體被破壞、數目減少，運動神經末梢釋放的乙醯膽鹼無法有效興奮肌肉，導致易疲勞與肌無力，故選 B。腎上腺素（A）為交感傳導物質，與骨骼肌自主收縮無關；血清素（C）與麩胺酸（D）為中樞神經傳導物質，非神經肌肉接合處的傳導者，皆不符。","臨床特徵為晨輕暮重、眼瞼下垂與複視，Tensilon（edrophonium，抗膽鹼酯酶）試驗可暫時改善。治療以 pyridostigmine 抑制乙醯膽鹼酯酶，延長 ACh 作用。對比 Lambert-Eaton 症候群為抗突觸前鈣通道抗體、ACh 釋放減少，用力後反見改善，可作鑑別。",[25,28,31,33,36],{"term":26,"count":27},"乙醯膽鹼",8,{"term":29,"count":30},"重症肌無力",5,{"term":32,"count":30},"神經肌肉接合處",{"term":34,"count":35},"菸鹼型乙醯膽鹼受體",2,{"term":37,"count":11},"自體免疫抗體",[39,43,47,52,57,61],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-108-1-basic-medicine-026","下列那一個蛋白質不參與骨骼肌（skeletal muscle）的收縮？",26,{"webId":44,"stem":45,"number":46,"year":10,"session":35},"nurse-108-2-basic-medicine-042","有關癌症（cancer）的分期（staging）及分級（grading）之敘述，下列何者最正確？",42,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-109-1-basic-medicine-056","Beta 腎上腺素受體拮抗劑用於治療心絞痛的藥理作用，不包括下列何者？",56,109,{"webId":53,"stem":54,"number":55,"year":56,"session":35},"nurse-110-2-basic-medicine-014","消化道的奧氏神經叢（Auerbach’s plexus），主要位於下列何處？",14,110,{"webId":58,"stem":59,"number":27,"year":60,"session":11},"nurse-112-1-basic-medicine-008","正常情形下，卵子從卵巢排出後，通常在輸卵管的那一部分受精？",112,{"webId":62,"stem":63,"number":35,"year":64,"session":35},"nurse-113-2-basic-medicine-002","女性體內黃體素（progesterone）的含量在下列子宮週期中何時最高？",113,"2026-09-04",1788510708308]