[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"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-114-1-基礎醫學-032","nurse-114-1-basic-medicine-032",114,1,32,"下列藥物中，何者對於改善酒精成癮治療沒有幫助？",{"A":15,"B":16,"C":17,"D":18},"naltrexone","acamprosate","acetaminophen","disulfiram","C",null,[],"本題考點在於酒精成癮的藥物治療選擇，本題為反向題，要挑出無幫助者。依藥理，naltrexone 為鴉片受體拮抗劑可降低飲酒渴求，acamprosate 調節麩胺酸與 GABA 系統以維持戒斷，disulfiram 抑制乙醛去氫酶使飲酒後蓄積乙醛產生不適以嚇阻，三者皆為酒癮治療用藥；acetaminophen 只是解熱鎮痛劑，與酒癮治療無關，故選 C。","disulfiram 造成的「乙醛症候群」表現為臉紅、心悸、噁心，屬嫌惡制約原理；naltrexone 與 acamprosate 則屬降低渴求的維持治療。記憶對比：想戒酒的三大藥＝拮抗渴求（naltrexone）、穩定神經（acamprosate）、事後懲罰（disulfiram），acetaminophen 純屬干擾選項。",[25,27,28,29,30],{"term":26,"count":11},"酒精成癮治療",{"term":15,"count":11},{"term":16,"count":11},{"term":18,"count":11},{"term":31,"count":11},"乙醛去氫酶",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-114-1-basic-medicine-033","使用局部麻醉劑時常與腎上腺素合用，其目的為何？",33,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"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？",29,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-basic-medicine-023","有關體染色體隱性（autosomal recessive）遺傳疾病的描述，下列何者錯誤？",23,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-107-1-basic-medicine-011","下列何者具有雙套（diploid）染色體？",11,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-1-basic-medicine-055","生物製劑之蛋白質藥物 Etanercept 可治療風濕性關節炎（Rheumatoid arthritis），此藥物之藥理作用為何？",55,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-basic-medicine-009","嗜鉻性細胞（chromaffin cells）主要位於下列何構造中？",9,109,"2026-09-04",1788510756495]