[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":26},"nurse-113-3-基礎醫學-034","nurse-113-3-basic-medicine-034",113,3,34,"下列藥物中，何者為 calcitonin gene-related peptide（CGRP）受體拮抗劑，除了可緩解急性偏頭痛（acute migraine）症狀，亦可用於預防偏頭痛？",{"A":15,"B":16,"C":17,"D":18},"propranolol","sumatriptan","dihydroergotamine","atogepant","D",null,[],"本題考點在於偏頭痛新型藥物 CGRP 受體拮抗劑的辨識。atogepant 屬於口服 gepant 類的 CGRP(降鈣素基因相關胜肽)受體拮抗劑,可用於偏頭痛的預防,故選 D(題幹並列急性緩解與預防,atogepant 為 gepant 類代表)。A propranolol 是非選擇性 β 受體阻斷劑,雖是偏頭痛的傳統預防用藥,但機轉並非 CGRP 拮抗。B sumatriptan 是 5-HT1B\u002F1D 受體促效劑(triptan 類),用於急性偏頭痛發作,作用於血清素受體而非 CGRP。C dihydroergotamine 是麥角生物鹼,亦作用於血清素與腎上腺素受體以收縮腦血管,非 CGRP 拮抗。掌握「gepant(-gepant 結尾)＝CGRP 受體拮抗劑」的命名線索即可鎖定 atogepant。","偏頭痛與 CGRP 密切相關:發作時三叉神經釋放 CGRP 造成腦膜血管擴張與神經性發炎。針對 CGRP 的新藥分兩類——口服小分子受體拮抗劑「gepant」(如 atogepant、rimegepant、ubrogepant),與注射型單株抗體(如 erenumab 針對受體、galcanezumab\u002Ffremanezumab\u002Feptinezumab 針對配體)。gepant 類優點是不像 triptan 具血管收縮性,較適合有心血管風險者。傳統用藥對比:急性發作用 triptan、NSAID;預防用 β 阻斷劑(propranolol)、抗癲癇(topiramate、valproate)、三環抗憂鬱劑。命名記憶:結尾「-gepant」看見就想 CGRP 受體拮抗,「-triptan」是血清素促效。",[25,27,29,31],{"term":18,"count":26},1,{"term":28,"count":26},"CGRP 受體拮抗劑(gepant 類)",{"term":30,"count":26},"偏頭痛預防與急性治療",{"term":32,"count":26},"triptan 與 β 阻斷劑對比",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-3-basic-medicine-035","下列藥物中，何者可減少 angiotensin II 生成，並且使體內 bradykinin 含量增加，因此產生血管舒張作用而降低血壓？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-basic-medicine-031","巨環類抗生素（macrolides）最不易引起下列何種副作用？",31,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-basic-medicine-025","急性心肌梗塞最常見且重要的病因為何？",25,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-basic-medicine-043","有關克隆氏疾病（Crohn disease）的臨床病理特徵，下列敘述何者正確？",43,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-1-basic-medicine-007","有關胸膜與腹膜的敘述，下列何者錯誤？",7,108,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-basic-medicine-041","一位接受骨髓移植的病患，在術後數週後，皮膚出現皮疹，此皮膚症狀與下列何者最為相關？",41,109,"2026-09-04",1788510751777]