[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-109-1-基礎醫學-051","nurse-109-1-basic-medicine-051",109,1,51,"迷幻藥 LSD 主要影響腦部的何種神經系統？",{"A":15,"B":16,"C":17,"D":18},"Glutamate 神經系統","GABA 神經系統","膽鹼神經系統","血清素神經系統","D",null,[],"本題考點是迷幻藥 LSD 的作用神經傳導系統。LSD 是強效的血清素（serotonin，5-HT）受體致效劑，主要作用於 5-HT2A 受體而產生幻覺與知覺扭曲，故影響血清素神經系統，選 D。(A) Glutamate 系統主要與 NMDA 相關迷幻藥（如 ketamine、PCP）有關，非 LSD 主要機轉。(B) GABA 系統是抑制性系統，與苯二氮平類、酒精作用相關，非 LSD。(C) 膽鹼神經系統與記憶、副交感反應相關，非 LSD 致幻機轉。故 LSD 主要作用於血清素神經系統，答案為 D。","LSD（麥角酸二乙醯胺）結構類似血清素，為 5-HT2A 受體部分致效劑，活化皮質（尤其視覺與聯合區）錐體細胞造成感知放大、聯覺與幻覺；其他經典致幻劑 psilocybin、mescaline 亦作用於 5-HT2A。對比其他濫用物質靶點：ketamine\u002FPCP＝NMDA（glutamate）拮抗（解離性）；苯二氮平\u002F酒精\u002F巴比妥＝增強 GABA_A（鎮靜）；古柯鹼\u002F安非他命＝阻斷多巴胺回收（興奮欣快）；尼古丁＝菸鹼型乙醯膽鹼受體。記憶：「LSD＝血清素幻覺（5-HT2A）」。",[25,28,31,33,34],{"term":26,"count":27},"神經傳導物質",3,{"term":29,"count":30},"致幻劑機轉",2,{"term":32,"count":11},"LSD迷幻藥",{"term":18,"count":11},{"term":35,"count":11},"5-HT2A受體",[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-basic-medicine-052","下列何種藥物可抑制 tumor tyrosine kinase 活性，因而可用於 chronic myeloid leukemia 及 gastrointestinal stromal tumor？",52,{"webId":42,"stem":43,"number":44,"year":10,"session":30},"nurse-109-2-basic-medicine-068","下列何種細胞可以對病原菌製造特異性抗體的免疫反應？",68,{"webId":46,"stem":47,"number":30,"year":48,"session":30},"nurse-110-2-basic-medicine-002","小腿脛骨（tibia）的外形，屬於下列何種骨骼？",110,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-2-basic-medicine-040","Imatinib 是慢性骨髓性白血病（chronic myeloid leukemia）的標靶療法用藥，下列何者為其作用機轉？",40,111,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-113-1-basic-medicine-044","下列何者屬於第二型過敏反應？",44,113,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-114-2-basic-medicine-038","下列糖尿病的治療藥物中，何者單獨使用時最可能造成低血糖（hypoglycemia）的風險？",38,114,"2026-09-04",1788510711350]