[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-034":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-112-1-基礎醫學-034","nurse-112-1-basic-medicine-034",112,1,34,"甲、乙、丙三種藥物作用在相同受體，其濃度與藥理作用曲線圖如下，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"使用丙藥最安全","甲藥能結合的受體最少","丙藥與受體的親和力最高","乙藥的藥理作用強度比甲藥小","D",null,[],"本題考點是同一受體上甲、乙、丙三藥的濃度–反應曲線判讀,需比較效價(potency,曲線左右位置\u002FEC50)與效能(efficacy,最大反應\u002F平台高度)。官方答案為D『乙藥的藥理作用強度比甲藥小』,對應圖中乙藥的最大反應平台低於甲藥,即效能較小。惟本題明確依賴看不到的曲線圖,無法逐一驗證,故把握度標低。就概念判別:A『丙藥最安全』需治療指數\u002F毒性資料,單憑反應曲線無法斷定;B『甲藥結合受體最少』、C『丙藥親和力最高』皆須由圖形位置佐證,無圖難以確認,故以官方D為準。","劑量反應曲線三要素:①效價(potency)看曲線在X軸的左右位置,愈靠左(EC50愈小)效價愈高,反映達半效所需濃度低,常與親和力相關;②效能(efficacy)看曲線平台的高度,即最大可達之藥理反應,決定『能做多強』;③安全性須另看治療指數(TD50\u002FED50),非單一反應曲線可判定。本題D比較的是『作用強度』即最大反應高度(效能),若乙的平台低於甲,則乙效能較小。作答此類圖題的關鍵是先分清『左右=效價\u002F親和力』『高低=效能』,再對應選項用詞;因缺圖,本詳解僅提供判讀框架並據實標示侷限。",[25,27,29,31],{"term":26,"count":11},"劑量反應曲線",{"term":28,"count":11},"效價(potency)與EC50",{"term":30,"count":11},"效能(efficacy)最大反應",{"term":32,"count":11},"治療指數與安全性",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-035","下列何種酶可被咖啡因抑制？",35,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-031","下列何種藥物不適合用來治療青光眼？",31,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-025","下列何者非屬石棉相關疾病（asbestos-related diseases）？",25,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":42},"nurse-114-3-basic-medicine-023","關於慢性阻塞性肺病（chronic obstructive pulmonary disease），下列敘述何者最適當？",23,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-1-basic-medicine-077","所謂的垂直感染，是指由母親傳給胎兒，其中最主要之一是病毒透過胎盤直接傳染胎兒。下列何種病毒可經由此途徑傳染？",77,106,{"webId":60,"stem":61,"number":41,"year":62,"session":48},"nurse-107-2-basic-medicine-031","有關鐵代謝之敘述，下列何者正確？",107,"2026-09-04",1788510740761]