[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"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-110-2-基礎醫學-050","nurse-110-2-basic-medicine-050",110,2,50,"Cabamazepine 主要作用於下列何種離子通道（ion channel），而用於 partial seizure 之治療？",{"A":15,"B":16,"C":17,"D":18},"鈣","氯","鉀","鈉","D",null,[],"本題考點在抗癲癇藥carbamazepine的分子作用機轉。Carbamazepine主要透過阻斷電位依賴性『鈉離子』通道,使其停留在不活化狀態、限制神經元高頻反覆放電,藉此穩定過度興奮的神經膜而治療部分性發作(partial seizure),故選D。A鈣通道阻斷(如ethosuximide作用於T型鈣通道)主要用於失神性發作;B氯通道與GABA-A受體相關(如benzodiazepine、barbiturate增強氯離子內流);C鉀通道非其主要作用標的。故carbamazepine作用於鈉離子通道。","抗癲癇機轉三大類:阻斷Na通道(carbamazepine、phenytoin、lamotrigine、valproate部分)以抑制高頻放電;增強GABA抑制(benzodiazepine、barbiturate、vigabatrin);阻斷T型Ca通道(ethosuximide)治失神。carbamazepine為部分及全身強直陣攣發作首選之一,亦治三叉神經痛;副作用含低血鈉(SIADH)、骨髓抑制、Stevens-Johnson(HLA-B*1502篩檢)。",[25,28,30,32],{"term":26,"count":27},"Carbamazepine",1,{"term":29,"count":27},"鈉離子通道",{"term":31,"count":27},"部分性發作",{"term":33,"count":27},"抗癲癇藥機轉",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-basic-medicine-051","治療糖尿病的用藥中，下列何者的主要作用是刺激胰臟β細胞釋放insulin？",51,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-111-1-basic-medicine-067","下列對於滅菌作用機制的描述，何者正確？",67,111,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-112-1-basic-medicine-031","下列何種神經肌肉阻斷劑是屬於去極化型？",31,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-029","醛固酮分泌腺瘤（aldosterone-secreting adenoma）產生原發性醛固酮過多症（hyperaldosteronism）會造成下列那一種症候群？",29,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-basic-medicine-033","嗎啡（morphine）的止痛作用主要是活化下列何種受體而產生？",33,114,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-106-1-basic-medicine-077","所謂的垂直感染，是指由母親傳給胎兒，其中最主要之一是病毒透過胎盤直接傳染胎兒。下列何種病毒可經由此途徑傳染？",77,106,"2026-09-04",1788510727759]