[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-111-1-基礎醫學-055","nurse-111-1-basic-medicine-055",111,1,55,"Buspirone 治療慢性泛焦慮症，主要透過下列何種受體？",{"A":15,"B":16,"C":17,"D":18},"多巴胺 1 型（D 1 ）","血清素 3 型（5-HT 3 ）","GABA A","血清素 1A 型（5-HT 1A ）","D",null,[],"本題考點為 Buspirone 治療泛焦慮症的受體機轉。Buspirone 是非苯二氮平類抗焦慮藥，主要作用為血清素 1A 型（5-HT1A）受體的部分致效劑，透過調節血清素神經傳導緩解焦慮，故選 D。A 的多巴胺 D1 受體與其抗焦慮主作用無關。B 的 5-HT3 受體多與噁心嘔吐及部分腸道功能相關，如 ondansetron 阻斷者。C 的 GABA-A 受體是苯二氮平類（如 diazepam）與巴比妥類的作用位置，而 buspirone 正是不作用於 GABA-A、因而較少鎮靜、依賴與呼吸抑制的優點。故 5-HT1A 為正解。","藥理特色：Buspirone 起效慢（約 1–2 週），不適合急性焦慮發作，也無立即鎮靜；因不作用於 GABA-A，故無明顯依賴性、戒斷、與酒精加乘的呼吸抑制，也較少認知影響，適合需長期治療且擔心 BZD 依賴者。對比：BZD（GABA-A 正向調節，開氯離子通道使神經過極化）起效快但有依賴與鎮靜。記憶：『Buspirone＝慢郎中的 5-HT1A，不碰 GABA』。",[25,28,30,32],{"term":26,"count":27},"Buspirone",2,{"term":29,"count":11},"5-HT1A 部分致效劑",{"term":31,"count":11},"非苯二氮平抗焦慮藥",{"term":33,"count":11},"GABA-A(BZD 作用位)對比",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-056","使用左多巴（levodopa）治療帕金森氏症時，不會產生下列何種副作用？",56,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-022","引發第一型過敏反應主要是那一種抗體？",22,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-3-basic-medicine-016","下列何種變化最有利於增加骨質密度？",16,3,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-1-basic-medicine-014","下列何者屬於彈性動脈？",14,114,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-2-basic-medicine-018","下列那一種條件會導致腎絲球過濾率下降？",18,115,{"webId":60,"stem":61,"number":27,"year":62,"session":11},"nurse-107-1-basic-medicine-002","下列何者分泌褪黑激素（melatonin）？",107,"2026-09-04",1788510733174]