[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-050":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-110-1-基礎醫學-050","nurse-110-1-basic-medicine-050",110,1,50,"下列何者不是抗癲癇藥物的作用機轉？",{"A":15,"B":16,"C":17,"D":18},"影響特定離子通道的通透性","阻斷興奮性麩胺酸（glutamate）受體","活化抑制性 γ-胺基丁酸（GABA）受體","阻斷正腎上腺素（norepinephrine）受體","D",null,[],"本題考點是抗癲癇藥物的作用機轉分類。依抗癲癇藥理,主流機轉是降低神經元過度放電,包括影響離子通道通透性(如阻斷鈉或鈣通道)、抑制興奮性麩胺酸傳遞、強化抑制性 GABA 作用;而「阻斷正腎上腺素受體」並非抗癲癇藥的作用機轉,故問「不是」者選 D。考點在於認得三大抗癲癇路徑:A 調控離子通道(如 phenytoin 阻鈉)、B 拮抗麩胺酸受體、C 增強 GABA 抑制,皆為正確機轉,唯正腎上腺素受體阻斷屬心血管用藥範疇。","抗癲癇藥可用「降興奮、升抑制」兩軸統整:降興奮靠阻斷電壓門控鈉\u002F鈣通道(減少去極化放電)與拮抗麩胺酸(NMDA\u002FAMPA);升抑制靠強化 GABA(增加氯離子內流使細胞過極化)。正腎上腺素受體(α、β)阻斷劑則用於高血壓、心律不整與甲狀腺亢進等,和癲癇控制無直接關係,是本題設下的干擾選項。",[25,28,30,32,34],{"term":26,"count":27},"抗癲癇藥物",2,{"term":29,"count":27},"離子通道",{"term":31,"count":11},"麩胺酸受體",{"term":33,"count":11},"GABA 受體",{"term":35,"count":11},"正腎上腺素受體",[37,41,45,49,55,59],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-1-basic-medicine-051","阿司匹靈（Aspirin）與下列何種藥物併用會增加血中濃度，而使危險性提高？",51,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-110-2-basic-medicine-067","如果在出生後立即切除胸腺，主要會影響下列何種免疫反應？",67,{"webId":46,"stem":47,"number":11,"year":48,"session":27},"nurse-111-2-basic-medicine-001","下列何種胃腺細胞，其分泌物質與大腸杯狀細胞所分泌的相似？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-basic-medicine-049","恐水症（hydrophobia）症狀的病人，是感染下列何種病毒的特殊病徵？",49,112,3,{"webId":56,"stem":57,"number":54,"year":58,"session":27},"nurse-114-2-basic-medicine-003","有關肌肉的作用，下列何者與其他三者不同？",114,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-115-2-basic-medicine-047","採集疑似砂眼披衣菌（Chlamydia trachomatis）生殖泌尿道感染檢體進行細菌培養及鑑定時，檢體需要為？",47,115,"2026-09-04",1788510719570]