[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-109-2-基礎醫學-055","nurse-109-2-basic-medicine-055",109,2,55,"下列何種抗癲癇藥物也可用於治療帶狀疱疹後神經痛？",{"A":15,"B":16,"C":17,"D":18},"Felbamate","Lamotrigine","Gabapentin","Topiramate","C",null,[],"本題考點在於抗癲癇藥的跨適應症應用。考點在於Gabapentin對神經病理性疼痛的療效:Gabapentin作用於電壓依賴性鈣通道的α2δ次單元,減少興奮性神經傳遞物釋放,除抗癲癇外亦核准用於帶狀疱疹後神經痛,故選C。A的Felbamate因再生不良性貧血與肝毒性,使用受限。B的Lamotrigine阻鈉通道,用於癲癇與雙相情緒障礙。D的Topiramate用於癲癇與偏頭痛預防。三者皆非帶狀疱疹後神經痛的典型選擇,唯Gabapentin(及同類pregabalin)為此標準用藥,為正解。","神經病理性疼痛第一線:gabapentinoids(gabapentin、pregabalin,阻α2δ鈣通道)、三環抗憂鬱劑、SNRI(duloxetine)。gabapentin雖名為GABA類似物,實際不直接作用於GABA受體。帶狀疱疹後神經痛即帶狀疱疹癒後持續的神經痛。對照:lamotrigine=雙相情緒、topiramate=偏頭痛預防與減重。可連結神經病理性疼痛階梯治療、α2δ鈣通道機轉複習。",[25,26,29,31],{"term":17,"count":11},{"term":27,"count":28},"α2δ鈣通道次單元",1,{"term":30,"count":28},"帶狀疱疹後神經痛",{"term":32,"count":28},"神經病理性疼痛",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-2-basic-medicine-056","下列何種藥物不用於治療帕金森氏症？",56,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-basic-medicine-072","下列何者不是 prion 的主要特性？",72,110,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-111-1-basic-medicine-006","下列支氣管樹的分支，何者具有氣體交換功能？",6,111,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-2-basic-medicine-024","慢性肉芽腫發炎反應所導致的限制性心包炎，最常見的病原菌或病因是：",24,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-basic-medicine-028","三歲男孩，血中 α 胎兒蛋白（α-fetoprotein）上升，最可能為何種睪丸腫瘤？",28,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-115-1-basic-medicine-022","關於慢性肉芽腫病（chronic granulomatous disease）的敘述，下列何者正確？",22,115,"2026-09-04",1788510715241]