[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":67},"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-109-2-基礎醫學-056","nurse-109-2-basic-medicine-056",109,2,56,"下列何種藥物不用於治療帕金森氏症？",{"A":15,"B":16,"C":17,"D":18},"多巴胺受體致效劑","多巴胺代謝前驅物，如levodopa","抗毒蕈鹼藥物","乙醯膽鹼酯酶抑制劑","D",null,[],"本題考點在於帕金森氏症的神經傳遞失衡與用藥原理。考點在於多巴胺與乙醯膽鹼的平衡:帕金森氏症因黑質多巴胺神經退化,使多巴胺相對不足、乙醯膽鹼相對亢進,治療策略是「補多巴胺、抑乙醯膽鹼」。乙醯膽鹼酯酶抑制劑會增加乙醯膽鹼、加重失衡且方向相反,故不用於帕金森氏症,選D。A的多巴胺受體致效劑直接刺激受體補足功能。B的levodopa是多巴胺前驅物,可通過血腦障壁後轉為多巴胺。C的抗毒蕈鹼(抗膽鹼)藥物降低乙醯膽鹼作用、改善顫抖。三者皆屬正確治療方向,唯乙醯膽鹼酯酶抑制劑反其道而行,為正解。","帕金森核心失衡:多巴胺↓、乙醯膽鹼↑,故治療兩路並進——補DA(levodopa加carbidopa防周邊代謝、DA致效劑、MAO-B抑制劑selegiline、COMT抑制劑entacapone)與抑ACh(抗膽鹼benztropine緩顫抖)。乙醯膽鹼酯酶抑制劑(donepezil、rivastigmine)增加ACh,是阿茲海默症用藥,方向完全相反。記憶「帕金森=DA少ACh多」。可連結黑質紋狀體路徑、levodopa併用carbidopa原理複習。",[25,28,29,32,34],{"term":26,"count":27},"帕金森氏症",6,{"term":18,"count":11},{"term":30,"count":31},"多巴胺乙醯膽鹼平衡",1,{"term":33,"count":31},"levodopa",{"term":35,"count":31},"抗膽鹼藥物",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-057","Lorcaserin是透過刺激下列何種受體去抑制食慾，而達到減重效果？",57,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-basic-medicine-073","下列何種器官移植，較可能發生移植體對抗宿主疾病（graft-versus-host disease; GVHD）？",73,110,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-111-1-basic-medicine-007","下列何者不是淋巴組織？",7,111,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-112-2-basic-medicine-025","由於發炎導致組織表面壞死，稱為：",25,112,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-113-3-basic-medicine-029","子宮肌腺症（adenomyosis）典型的表現，下列何者最恰當？",29,113,3,{"webId":63,"stem":64,"number":65,"year":66,"session":31},"nurse-115-1-basic-medicine-023","下列何者不屬於體染色體（autosome）數量異常的疾病？",23,115,"2026-09-04",1788510715244]