[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-112-1-基礎醫學-031","nurse-112-1-basic-medicine-031",112,1,31,"下列何種神經肌肉阻斷劑是屬於去極化型？",{"A":15,"B":16,"C":17,"D":18},"Mivacurium","Pancuronium","Tubocurarine","Succinylcholine","D",null,[],"本題考點在於神經肌肉阻斷劑的機轉分類。去極化型阻斷劑會與運動終板的菸鹼型乙醯膽鹼受體結合並持續活化、造成持續去極化而無法再興奮，代表藥為 Succinylcholine（琥珀膽鹼），選 D。考點在於辨識其餘皆為非去極化（競爭型）阻斷劑：A Mivacurium、B Pancuronium、C Tubocurarine 皆屬 curare 類，機轉為競爭性拮抗乙醯膽鹼、佔據受體但不活化，可被膽鹼酯酶抑制劑（如 neostigmine）逆轉。三者皆為競爭型，唯 Succinylcholine 屬去極化型，且其阻斷無法用 neostigmine 逆轉（反而可能加重），故為答案。","記憶法：去極化型只有 Succinylcholine（近乎唯一常用）；名字含「-curium／-curine／-curonium」多屬非去極化競爭型。Succinylcholine 特點：起效快、作用短（被血漿假性膽鹼酯酶分解），用於快速插管；副作用含高血鉀、惡性高熱誘發。可連結重症肌無力用藥與膽鹼酯酶抑制劑複習。",[25,28,30,31],{"term":26,"count":27},"菸鹼型乙醯膽鹼受體",2,{"term":29,"count":11},"去極化型神經肌肉阻斷劑",{"term":18,"count":11},{"term":32,"count":11},"非去極化競爭型阻斷劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-032","下列何者不是短效性鎮靜安眠藥？",32,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-028","下列何者是兒童最常見的白血病？",28,3,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-113-2-basic-medicine-022","肝衰竭引發腹部腫大，下列敘述何者最不適當？",22,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-basic-medicine-020","下列那種神經傳遞物質，對平滑肌細胞最可能會產生興奮性或抑制性作用？",20,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-1-basic-medicine-074","病毒的構造是決定其是否能抵抗消毒劑的原因之一，下列何種病毒因不具套膜可以抵抗乙醚的破壞？",74,106,{"webId":59,"stem":60,"number":41,"year":61,"session":27},"nurse-107-2-basic-medicine-028","若腎臟之水分過濾（filtration）體積為 X，水分分泌（secretion）體積為 Y，水分重吸收（reabsorption）體積為 Z，則水分排除體積為何？",107,"2026-09-04",1788510740735]