[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-004":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":27},"nurse-113-1-基礎醫學-004","nurse-113-1-basic-medicine-004",113,1,4,"帕金森氏症（Parkinson's disease）的顫抖症狀肇因為何？",{"A":15,"B":16,"C":17,"D":18},"腦內缺乏多巴胺（dopamine deficiency）","腦內多巴胺過高（dopamine excess）","腦內缺乏血清素（serotonin deficiency）","腦內血清素過高（serotonin excess）","A",null,[],"本題考點在於帕金森氏症（Parkinson's disease）的神經生化病理機轉。帕金森氏症的核心病變是中腦黑質（substantia nigra）多巴胺神經元退化死亡，導致基底核多巴胺不足，進而出現靜止性顫抖、僵硬、動作遲緩等症狀，故選 A『腦內缺乏多巴胺』。B 多巴胺過高並非病因，反而過量會出現異動症；C、D 涉及血清素的增減，血清素與情緒調節較相關，非帕金森顫抖的主因。故選 A。","黑質多巴胺神經元投射至紋狀體，多巴胺缺乏使基底核運動迴路失衡（直接路徑減弱、間接路徑增強），造成動作抑制。治療核心為補充前驅物 levodopa。記憶對比：帕金森是『多巴胺少、動作少』；思覺失調則與多巴胺過度活性相關，兩者方向相反，常一併考。",[25,28,30,32],{"term":26,"count":27},"帕金森氏症",6,{"term":29,"count":11},"黑質多巴胺神經元退化",{"term":31,"count":11},"基底核運動迴路",{"term":33,"count":11},"levodopa治療原理",[35,39,43,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-basic-medicine-005","下列何者最可能促進生長激素（growth hormone）分泌？",5,{"webId":40,"stem":41,"number":11,"year":10,"session":42},"nurse-113-3-basic-medicine-001","大轉子（greater trochanter）位於下列那塊骨骼？",3,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-114-1-basic-medicine-045","有關金黃色葡萄球菌（Staphylococcus aureus）感染所造成的臨床表徵，下列何者症狀通常不是由其分泌的毒素所導致？",45,114,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-115-2-basic-medicine-043","下列有關病毒感染所引起的免疫防禦機制，何者錯誤？",43,115,2,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-037","胃腸道之原位癌（carcinoma in situ）是表示癌細胞尚未穿過下列何者？",37,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-1-basic-medicine-071","HIV 的感染主要藉由其表面之 gp120 與下列那一分子作用結合而感染宿主細胞？",71,108,"2026-09-04",1788510749392]