[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-040","nurse-112-1-basic-medicine-040",112,1,40,"下列何種成癮性物質是透過血清素受體來產生幻覺？",{"A":15,"B":16,"C":17,"D":18},"古柯鹼","安非他命","麥角酸二乙胺（LSD）","大麻","C",null,[],"本題考點在於成癮物質的神經傳導機轉。麥角酸二乙胺（LSD）屬經典致幻劑，其作用是活化血清素（serotonin, 5-HT2A）受體而產生幻覺，故選 C。考點在於排除其他機轉：A 古柯鹼主要抑制多巴胺再回收，造成中樞興奮與欣快，非血清素致幻；B 安非他命促進多巴胺與正腎上腺素釋放，屬興奮劑；D 大麻的主要成分 THC 作用於大麻素受體（CB1），產生放鬆與感知改變，並非透過血清素受體。故以血清素受體致幻而言，唯有 LSD 正確。","LSD 為 5-HT2A 受體部分促效劑，作用於大腦皮質產生感知扭曲與幻覺。對比興奮劑（古柯鹼、安非他命）靠多巴胺系統，鴉片類靠 μ 受體，大麻靠 CB1。記憶點：致幻＝血清素（LSD、psilocybin）；欣快興奮＝多巴胺。可連結成癮物質分類（興奮劑、抑制劑、致幻劑、鴉片類）複習。",[25,28,30,32],{"term":26,"count":27},"致幻劑機轉",2,{"term":29,"count":11},"麥角酸二乙胺 LSD",{"term":31,"count":11},"血清素 5-HT2A 受體",{"term":33,"count":11},"成癮物質分類",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-1-basic-medicine-041","有關細菌內毒素（endotoxin）的敘述，下列何者錯誤？",41,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-112-3-basic-medicine-037","下列抗心律不整藥物中，何者為人體內生性物質，經靜脈方式給與高劑量時，可以有效治療心室上心搏過速（supraventricular tachycardias）？",37,3,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-113-2-basic-medicine-031","有關麥角生物鹼（ergot alkaloids）的作用，下列敘述何者錯誤？",31,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-basic-medicine-029","庫欣症候群（Cushing syndrome）病患，左右兩側腎上腺變大，血中 ACTH 上升，下列病因何者最為可能？",29,114,{"webId":55,"stem":56,"number":43,"year":57,"session":27},"nurse-106-2-basic-medicine-003","下列何者可使眼球向下內側看及向內旋轉？",106,{"webId":59,"stem":60,"number":42,"year":61,"session":27},"nurse-107-2-basic-medicine-037","關於異生（dysplasia）的敘述，下列何者正確？",107,"2026-09-04",1788510740818]