[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-111-1-基礎醫學-053","nurse-111-1-basic-medicine-053",111,1,53,"下列抗生素中，何者不會作用在細菌的核糖體上？",{"A":15,"B":16,"C":17,"D":18},"Vancomycin","Gentamicin","Erythromycin","Clindamycin","A",null,[],"本題考點為抗生素的作用標的，須選「不作用於核糖體」者。Vancomycin 屬糖胜肽類，機轉是結合細胞壁前驅物 D-Ala-D-Ala 末端，抑制細胞壁肽聚糖（peptidoglycan）合成，並非作用於核糖體，故選 A。B 的 Gentamicin（胺基醣苷類）結合 30S 核糖體抑制蛋白質合成。C 的 Erythromycin（巨環類）結合 50S 核糖體。D 的 Clindamycin（林可醯胺類）同樣結合 50S 核糖體。三者都是蛋白質合成抑制劑、作用在核糖體，唯 Vancomycin 打的是細胞壁。","抗生素標的分類記憶：作用於核糖體（抑蛋白合成）—30S：aminoglycosides（殺菌）、tetracyclines（抑菌）；50S：macrolides、clindamycin、chloramphenicol、linezolid。作用於細胞壁—β-lactams（penicillin、cephalosporin，抑轉肽酶）、vancomycin（結 D-Ala-D-Ala）。作用於核酸\u002F葉酸—fluoroquinolones（DNA gyrase）、rifampin（RNA polymerase）、sulfonamides（葉酸）。口訣：『Vanco 打牆不打廠（核糖體是蛋白工廠）』。",[25,27,29,31],{"term":26,"count":11},"Vancomycin(細胞壁合成抑制)",{"term":28,"count":11},"Gentamicin(30S)",{"term":30,"count":11},"Erythromycin\u002FClindamycin(50S)",{"term":32,"count":11},"抗生素作用機轉分類",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-054","藥物在肝臟代謝的第一期（phase I）反應，不包括下列何者？",54,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-1-basic-medicine-020","下列有關吸氣時的敘述，何者錯誤？",20,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-basic-medicine-014","下列何者與行為動機（motivation）和獎賞（reward）路徑最為相關？",14,3,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-basic-medicine-012","關於腦下垂體（pituitary gland）的描述，下列何者錯誤？",12,114,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-115-2-basic-medicine-016","有關自主神經系統對心臟的影響，下列敘述何者正確？",16,115,2,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-106-2-basic-medicine-080","下列有關犬蛔蟲（Toxocara canis）之敘述，何者正確？",80,106,"2026-09-04",1788510733150]