[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":39,"lastmod":68},"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-112-2-基礎醫學-033","nurse-112-2-basic-medicine-033",112,2,33,"使用局部麻醉劑時，併用 epinephrine 的主要目的為何？",{"A":15,"B":16,"C":17,"D":18},"促進局部血液循環","加快藥物代謝速率","增強藥物全身性吸收","延長藥物作用時間","D",null,[],"本題考點在於局部麻醉劑併用腎上腺素（epinephrine）的藥理目的。依血管作用機轉，腎上腺素刺激 α 腎上腺素受體使局部血管收縮，減少麻醉劑被血流帶走、延緩其全身性吸收，因而延長藥物在注射部位的作用時間並降低全身毒性，故選 D。A 錯在其效果是收縮血管、減少局部血流而非促進循環；B 併用並非為加快代謝；C 恰好相反，血管收縮是為減少（而非增強）全身性吸收，兩者方向對立。","記憶關鍵：局麻＋腎上腺素＝「關水龍頭」，血管收縮讓藥留在原地更久、出血更少、全身中毒風險更低。但禁忌部位須注意：手指、腳趾、耳、鼻、陰莖等末端器官血流單一，血管收縮可能致缺血壞死，故傳統教學避免於此處併用。可連結局麻藥（酯類 vs 醯胺類）代謝差異與全身毒性表現（中樞、心臟）一併複習。",[25,28,31,34,36],{"term":26,"count":27},"血管收縮",6,{"term":29,"count":30},"腎上腺素",4,{"term":32,"count":33},"局部麻醉劑",3,{"term":35,"count":11},"α 受體",{"term":37,"count":38},"延長作用時間",1,[40,44,49,53,58,63],{"webId":41,"stem":42,"number":43,"year":10,"session":11},"nurse-112-2-basic-medicine-034","Bupropion 除可當抗憂鬱藥物外，尚具有何項藥理功能？",34,{"webId":45,"stem":46,"number":47,"year":48,"session":38},"nurse-113-1-basic-medicine-030","侏儒症中最常見的原因是軟骨發育不全（achondroplasia），而軟骨發育不全為體染色體顯性遺傳疾病。約 90%的病人與下列那一個基因突變有關？",30,113,{"webId":50,"stem":51,"number":52,"year":48,"session":33},"nurse-113-3-basic-medicine-024","下列何者不是慢性酗酒的常見後遺症？",24,{"webId":54,"stem":55,"number":56,"year":57,"session":38},"nurse-115-1-basic-medicine-022","關於慢性肉芽腫病（chronic granulomatous disease）的敘述，下列何者正確？",22,115,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-106-2-basic-medicine-046","最常見到的乳房良性腫瘤為下列何項？",46,106,{"webId":64,"stem":65,"number":66,"year":67,"session":11},"nurse-107-2-basic-medicine-080","有關有鉤絛蟲（Taenia solium）之敘述，下列何者錯誤？",80,107,"2026-09-04",1788510746423]