[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-111-2-基礎醫學-033","nurse-111-2-basic-medicine-033",111,2,33,"下列何者不是 1995 年東京地鐵發生沙林（sarin）毒氣攻擊事件受害者的症狀？",{"A":15,"B":16,"C":17,"D":18},"心跳加速","瞳孔縮小","頻尿","唾液增加","A",null,[],"本題考點為沙林（sarin）神經毒氣的中毒表現，選出非其症狀者。依毒理，沙林是有機磷神經毒劑，抑制乙醯膽鹼酯酶使乙醯膽鹼堆積、副交感過度興奮，典型呈心跳減慢（而非加速）、瞳孔縮小、頻尿、流涎流淚與支氣管分泌增多，故 A「心跳加速」非其症狀，為正解。B 瞳孔縮小、C 頻尿、D 唾液增加皆為膽鹼性過度興奮表現，故選 A。","有機磷中毒的膽鹼性症候可用口訣 SLUDGE（流涎、流淚、排尿、排便、腸胃不適、嘔吐）或 DUMBELS 記憶，蕈毒鹼作用導致縮瞳、心搏過緩、支氣管痙攣與分泌物暴增。解毒以 atropine（拮抗蕈毒鹼作用）加 pralidoxime（活化酵素）處置。心跳加速屬交感興奮，與副交感過度活化的沙林中毒方向相反，故為例外。",[25,27,30,32],{"term":26,"count":11},"乙醯膽鹼酯酶抑制",{"term":28,"count":29},"沙林(有機磷神經毒劑)",1,{"term":31,"count":29},"膽鹼性過度興奮",{"term":33,"count":29},"縮瞳與心搏過緩",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-basic-medicine-034","下列何者為 Ethosuximide 治療失神性癲癇（absence seizures）的主要作用機轉？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-2-basic-medicine-030","下列關於帕金森氏症的敘述何者錯誤？",30,112,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-113-1-basic-medicine-024","壞血病（scurvy）是那一種維生素缺乏所造成？",24,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-2-basic-medicine-022","下列何種機制與鬱血性心衰竭（congestive heart failure）患者的肺水腫最為相關？",22,114,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-106-1-basic-medicine-026","胎血循環中，靜脈導管連接臍靜脈與下列何者？",26,106,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-107-1-basic-medicine-060","下列藥物何者不適用於鼻炎（rhinitis）的治療用藥？",60,107,"2026-09-04",1788510737289]