[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-114-1-基礎醫學-033","nurse-114-1-basic-medicine-033",114,1,33,"使用局部麻醉劑時常與腎上腺素合用，其目的為何？",{"A":15,"B":16,"C":17,"D":18},"使局部血管收縮","增加局部麻醉劑的吸收","增強中樞正腎上腺素系統之止痛作用","減少局部過敏","A",null,[],"本題考點在於局部麻醉劑併用腎上腺素的藥理目的。依藥理機轉，腎上腺素刺激血管平滑肌的 α 受體使局部血管收縮，可減緩麻醉劑被血流帶走的速度，延長作用時間並降低全身毒性，故選 A。B 錯誤，血管收縮反而「減少」而非增加吸收；C 錯誤，其作用是局部血管效應而非中樞正腎上腺素止痛；D 錯誤，合用目的與減少過敏無關。","局部血管收縮同時能減少手術部位出血，故臨床常見於局麻與小手術。須注意末梢構造如手指、腳趾、鼻尖、陰莖等因側枝循環不足，傳統上避免使用含腎上腺素配方以防組織缺血。記憶要點：腎上腺素＝α 收縮血管＝麻醉劑停久一點、被吸收少一點。",[25,28,31,34],{"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":36},"α 受體",2,[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-114-1-basic-medicine-034","下列何種藥物可調節血清素（serotonin）神經傳遞系統，達到抗憂鬱效果？",34,{"webId":43,"stem":44,"number":45,"year":10,"session":33},"nurse-114-3-basic-medicine-030","下列何種疾病是因為 FGFR3 基因突變而造成侏儒症（dwarfism）？",30,{"webId":47,"stem":48,"number":49,"year":50,"session":36},"nurse-115-2-basic-medicine-024","關於肺癌的敘述，下列何者最適當？",24,115,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-107-1-basic-medicine-012","下列何者供應闌尾的血液？",12,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-108-1-basic-medicine-056","下列何者為 pilocarpine 的拮抗劑？",56,108,{"webId":62,"stem":63,"number":64,"year":65,"session":36},"nurse-109-2-basic-medicine-010","房室結（atrioventricular node）位於心臟的何處？",10,109,"2026-09-04",1788510756501]