[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-114-1-基礎醫學-034","nurse-114-1-basic-medicine-034",114,1,34,"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？",{"A":15,"B":16,"C":17,"D":18},"ergonovine","fluoxetine","ondansetron","sumatriptan","B",null,[],"本題考點在於調節血清素神經傳遞以達抗憂鬱效果的藥物辨識。依藥理分類，fluoxetine 是選擇性血清素回收抑制劑（SSRI），阻斷突觸前血清素轉運體，使突觸間隙血清素濃度上升而改善憂鬱，故選 B。A ergonovine 為麥角生物鹼、作用於子宮平滑肌；C ondansetron 是 5-HT₃ 受體拮抗劑、用於止吐；D sumatriptan 為 5-HT₁ 致效劑、治偏頭痛，皆非抗憂鬱用途。","SSRI 因選擇性高、副作用較三環抗憂鬱劑少而成第一線用藥，起效需二至四週，與血清素受體向下調節的時間相符。記憶對比：同樣涉及 5-HT，ondansetron 擋 5-HT₃ 止吐、sumatriptan 催 5-HT₁ 止偏頭痛，唯有抑制回收（fluoxetine）才是抗憂鬱主軸。",[25,28,31,32],{"term":26,"count":27},"血清素",3,{"term":29,"count":30},"SSRI",2,{"term":16,"count":30},{"term":33,"count":11},"血清素回收抑制",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-1-basic-medicine-035","毛地黃中毒時，因心跳過慢導致心律不整，下列何者為正確且安全的治療策略?",35,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-114-3-basic-medicine-031","下列藥物中，何者為前驅藥物（prodrug）需要體內酵素代謝才會產生活性，但有些人可能因其代謝酵素活性較低，而使得該藥物之藥效減弱？",31,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-115-2-basic-medicine-025","有關鼻咽癌（nasopharyngeal carcinoma）的敘述，下列何者正確？",25,115,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-107-1-basic-medicine-013","肝臟的血液主要來自：",13,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-1-basic-medicine-057","下列抗精神病藥物中，何者的錐體外症狀（Extrapyramidal symptoms）副作用最強？",57,108,{"webId":59,"stem":60,"number":61,"year":62,"session":30},"nurse-109-2-basic-medicine-011","頸部左側的頸總動脈直接源自下列何者？",11,109,"2026-09-04",1788510756526]