[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-062":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":11},"nurse-110-2-基礎醫學-062","nurse-110-2-basic-medicine-062",110,2,62,"有關體重控制藥物 Lorcaserin 的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"是 serotonin reuptake 的抑制劑","可刺激 pro-opiomelanocortin 神經而活化 melanocortin 受體","主要由肝臟代謝","代謝物經由尿液排除","A",null,[],"本題考點為減重藥 Lorcaserin 的機轉，屬選錯誤敘述題。依其藥理，Lorcaserin 是選擇性 5-HT2C 受體致效劑，並非血清素再回收抑制劑，故 A 稱「是 serotonin reuptake 的抑制劑」描述錯誤，選 A。B 它經下視丘刺激 pro-opiomelanocortin（POMC）神經、活化 melanocortin 受體而抑制食慾，正確；C 主要由肝臟代謝，正確；D 代謝物經尿液排除，亦正確。三者皆符合其藥理，唯 A 的機轉歸類有誤。","5-HT2C 受體位於下視丘弓狀核的 POMC 神經元，Lorcaserin 選擇性致效此受體、增加 α-MSH 釋放而降低食慾；設計上刻意避開會引起心臟瓣膜病變的 5-HT2B 受體（那是舊藥 fenfluramine 下市的原因）。須注意 Lorcaserin 後因致癌疑慮已被撤出市場，但其機轉仍為考點。記憶對比：致效劑（激活受體）與再回收抑制劑（提高突觸間隙濃度）是兩種完全不同的作用方式。可連結概念：POMC\u002Fmelanocortin 食慾路徑、瘦素、其他中樞減重藥的機轉分類。",[25,27,30,32,34],{"term":26,"count":11},"Lorcaserin",{"term":28,"count":29},"5-HT2C 受體致效劑",1,{"term":31,"count":29},"POMC\u002Fmelanocortin 路徑",{"term":33,"count":29},"食慾抑制",{"term":35,"count":29},"受體致效劑與再回收抑制之別",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-basic-medicine-063","下列何種藥物可以治療免疫不全病人，因感染巨細胞病毒（CMV）導致視網膜炎，以及對 acyclovir 無效之單純疱疹病毒感染？",63,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-basic-medicine-079","下列有關登革熱病毒的敘述，何者錯誤？",79,111,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-112-1-basic-medicine-043","下列何種疫苗是用活的微生物製備而成？",43,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-basic-medicine-041","有關細菌內毒素（endotoxin），下列敘述何者最不適當？",41,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-basic-medicine-045","關於細菌毒素與毒性作用的相關性，下列敘述何者正確？",45,114,3,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-009","用力吸氣增大胸腔容積時，與下列何者的收縮無關？",9,106,"2026-09-04",1788510727851]