[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-110-2-基礎醫學-055","nurse-110-2-basic-medicine-055",110,2,55,"非典型抗憂鬱藥物，下列何者可降低菸癮者對尼古丁的渴求？",{"A":15,"B":16,"C":17,"D":18},"Nefazodone","Mirtazapine","Bupropion","Vortioxetine","C",null,[],"本題考點為戒菸輔助的非典型抗憂鬱藥物。考點在於辨識 Bupropion 的雙重用途：它是 norepinephrine 與 dopamine 再回收抑制劑，能減緩尼古丁戒斷時多巴胺下降造成的渴求，故同一成分同時作為抗憂鬱與戒菸藥（商品名如 Wellbutrin 與 Zyban），選 C。A Nefazodone 為 5-HT2 拮抗兼弱回收抑制的抗憂鬱藥；B Mirtazapine 屬 NaSSA、以促進食慾與助眠著稱；D Vortioxetine 為多重血清素機轉的新型抗憂鬱藥，三者皆無降低菸癮的適應症。","Bupropion 減菸癮的關鍵在提升中腦多巴胺與正腎上腺素張力，部分抵消戒斷期報償系統的低下；它同時是 nicotinic acetylcholine 受體的非競爭性拮抗劑，雙管齊下降低吸菸的增強效果。臨床特點：不易造成性功能障礙與體重增加，但會降低癲癇閾值，癲癇或飲食障礙者不宜。記憶法：Bupropion＝憂鬱＋戒菸「一藥兩名」。可連結概念：varenicline（部分致效 α4β2 受體）為另一線戒菸藥，適合並列比較。",[25,26,29,31,33],{"term":17,"count":11},{"term":27,"count":28},"多巴胺\u002F正腎上腺素再回收抑制",1,{"term":30,"count":28},"尼古丁戒斷",{"term":32,"count":28},"戒菸輔助藥",{"term":34,"count":28},"降低癲癇閾值",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-056","成癮性物質中，下列何者之身體依賴性相對較高？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-111-1-basic-medicine-072","關於肉毒桿菌（Clostridium botulinum ）引發食物中毒的敘述，下列何者錯誤？",72,111,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-112-1-basic-medicine-036","有機硝酸鹽用於治療及預防穩定型心絞痛，劑量大時會導致周邊阻力減少，引發反射性心跳加快，因此常與下列那類藥物合併使用來避免心絞痛惡化？",36,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-2-basic-medicine-034","下列何種藥物為前列腺素致效劑（agonist），可降低胃酸釋出，也能促進胃黏液的產生，以緩解胃潰瘍的病症？",34,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-basic-medicine-038","關於質子幫浦抑制劑（proton pump inhibitors, PPIs），下列敘述何者錯誤？",38,114,3,{"webId":62,"stem":63,"number":11,"year":64,"session":11},"nurse-106-2-basic-medicine-002","下列那一個腺體之組織學特徵具有膠體（colloid）的構造？",106,"2026-09-04",1788510727796]