[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-052":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-108-2-基礎醫學-052","nurse-108-2-basic-medicine-052",108,2,52,"有關 H 1 組織胺受體拮抗藥物（anti-histamine）的治療用途，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"過敏性疾病","動暈症（motion sickness）","器官排斥作用","失眠症","C",null,[],"本題考點在第一代H1組織胺受體拮抗劑的治療用途範圍。依藥理學，H1拮抗劑阻斷組織胺與H1受體結合，臨床用於過敏性疾病（A）、藉抗膽鹼與中樞作用治療動暈症（B），部分具鎮靜性者亦用於失眠（D）。C『器官排斥作用』屬移植免疫排斥，需以免疫抑制劑（如環孢素、鈣調磷酸酶抑制劑）處理，與組織胺H1受體無關，抗組織胺藥無此療效，故C錯誤。","第一代H1拮抗劑（如diphenhydramine）脂溶性高、可過血腦障壁，兼具抗膽鹼與中樞鎮靜作用，故一藥多用：抗過敏、止暈止吐、助眠。第二代（如cetirizine、loratadine）中樞穿透少、鎮靜輕，主打抗過敏而不助眠。器官排斥屬T細胞介導的免疫反應，治療軸線完全不同。記憶要訣：抗組織胺管『過敏、暈、睡』，管不到『免疫排斥』。可連結：第一代與第二代H1拮抗劑、抗膽鹼副作用、血腦障壁穿透、移植免疫抑制劑。",[25,28,30,32],{"term":26,"count":27},"H1組織胺受體拮抗劑用途",1,{"term":29,"count":27},"抗過敏\u002F動暈症\u002F失眠",{"term":31,"count":27},"器官排斥需免疫抑制劑",{"term":33,"count":27},"第一代抗膽鹼鎮靜",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-053","每天服用一次低劑量（80～120 mg）的阿斯匹林（aspirin），可降低動脈血栓發生的機率，此作用是抑制體內何種物質的生合成？",53,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-069","造成呼吸道感染的細菌，下列敘述何者較為正確？",69,109,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-110-1-basic-medicine-003","下列何者參與圍成股三角（femoral triangle）？",3,110,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-111-1-basic-medicine-041","下列何種腦瘤最常見於小於 5 歲兒童的小腦？",41,111,{"webId":55,"stem":56,"number":57,"year":58,"session":47},"nurse-112-3-basic-medicine-015","下列何者為副交感（parasympathetic）神經興奮所引起之反應？",15,112,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-114-1-basic-medicine-009","肺氣腫（emphysema）患者因肺泡壁遭到破壞而容易出現下列那一種變化？",9,114,"2026-09-04",1788510705263]