[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-049":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":26},"nurse-110-2-基礎醫學-049","nurse-110-2-basic-medicine-049",110,2,49,"治療青光眼的藥物中，下列何者是藉由直接作用於膽鹼性受體（cholinergic receptor）而降低眼壓？",{"A":15,"B":16,"C":17,"D":18},"Atropine","Echothiophate","Pilocarpine","Timolol","C",null,[],"本題考點在抗青光眼藥物的作用機轉分類。Pilocarpine是直接型蕈毒鹼(muscarinic\u002F膽鹼性)受體致效劑,直接刺激睫狀肌收縮、拉開小樑網增加房水排出而降眼壓,故選C。A Atropine是膽鹼性受體拮抗劑,會散瞳、反使眼壓上升;B Echothiophate雖屬膽鹼性作用,但為『間接』型(不可逆膽鹼酯酶抑制劑),透過抑制乙醯膽鹼分解而作用,非直接結合受體;D Timolol是β腎上腺素受體阻斷劑,經減少房水生成降眼壓,與膽鹼受體無關。故直接作用於膽鹼受體者為Pilocarpine。","青光眼藥分類:降房水生成有β阻斷劑(timolol)、α2致效劑(brimonidine)、碳酸酐酶抑制劑(acetazolamide);增排出有縮瞳膽鹼致效劑(pilocarpine直接、physostigmine\u002Fechothiophate間接)、前列腺素類似物(latanoprost,增葡萄膜鞏膜路徑,常為第一線)。直接與間接之分:直接結合受體;間接抑制乙醯膽鹼酯酶。可連結有機磷中毒與atropine解毒。",[25,27,29,32],{"term":17,"count":26},3,{"term":28,"count":11},"房水排出",{"term":30,"count":31},"膽鹼性受體致效劑",1,{"term":33,"count":31},"青光眼藥理",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-basic-medicine-050","Cabamazepine 主要作用於下列何種離子通道（ion channel），而用於 partial seizure 之治療？",50,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-111-1-basic-medicine-066","下列關於細胞激素（cytokine）的敘述何者錯誤？",66,111,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-112-1-basic-medicine-030","下列何種內分泌疾病主因不是腦下垂體前葉的問題造成？",30,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-028","生骨性（osteoblastic）骨轉移，最常見於下列何種腫瘤？",28,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-3-basic-medicine-032","氣喘（asthma）病人服用下列何種降血壓藥物時，最易誘發氣喘發作？",32,114,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-106-1-basic-medicine-076","下列那一種病毒和子宮頸癌相關？",76,106,"2026-09-04",1788510727749]