[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-111-1-基礎醫學-056","nurse-111-1-basic-medicine-056",111,1,56,"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？",{"A":15,"B":16,"C":17,"D":18},"厭食","心搏過慢","精神疾患","血壓降低","B",null,[],"本題考點為左多巴（levodopa）治療帕金森氏症的副作用，須選不會出現者。Levodopa 在周邊會轉為多巴胺，刺激周邊多巴胺受體與腎上腺素系統，常見副作用包括厭食、噁心（A）、姿位性低血壓與血壓降低（D），以及中樞的幻覺、精神症狀（C）與運動困難。至於心搏方面，多巴胺對心臟的作用偏向興奮，臨床上較易出現心搏過速而非心搏過慢，故『心搏過慢』不是其典型副作用，選 B。A、C、D 皆為 levodopa 已知副作用。","機轉延伸：Levodopa 是多巴胺前驅物（多巴胺本身無法過血腦障壁），常與 carbidopa 併用抑制周邊 dopa 去羧酶，減少周邊轉換造成的噁心與心血管副作用並增加入腦量。周邊多巴胺可作用於 β 受體與影響交感，傾向心搏過速；姿位性低血壓因血管作用而常見。中樞過度多巴胺化可致幻覺、妄想、異動症（dyskinesia）與『開關現象（on-off）』。記憶：『多巴胺讓心跳更快，不會更慢』。",[25,27,29,31],{"term":26,"count":11},"Levodopa",{"term":28,"count":11},"多巴胺周邊作用",{"term":30,"count":11},"姿位性低血壓\u002F厭食\u002F精神症狀",{"term":32,"count":11},"心搏過速(非過慢)",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-057","下列有關 aspirin 的作用中，何者所需要的劑量最高？",57,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-1-basic-medicine-023","下列何者是兒童接受肝臟移植最常見的原因？",23,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-basic-medicine-017","人類胚胎時期性激素（sex hormone）的分泌量與青春期前（prepuberty）相比，下列敘述何者正確？",17,3,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-basic-medicine-015","下列何者不是輸尿管（ureter）管腔較為狹窄的位置？",15,114,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-115-2-basic-medicine-019","肺內的氧濃度小於 70 mmHg，對肺內血流的影響為何？",19,115,2,{"webId":60,"stem":61,"number":47,"year":62,"session":11},"nurse-107-1-basic-medicine-003","下列何者不附著於肩胛骨上？",107,"2026-09-04",1788510733180]