[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-035":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":11},"nurse-114-2-基礎醫學-035","nurse-114-2-basic-medicine-035",114,2,35,"關於 Diphenhydramine 的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可改善過敏症狀","口服吸收良好","無中樞神經抑制作用","為組織胺 H 1 受體拮抗劑","C",null,[],"本題考點在於第一代抗組織胺 Diphenhydramine 的藥理特性。本題為反向題,錯誤敘述為 C「無中樞神經抑制作用」。依藥理,Diphenhydramine 為第一代 H1 受體拮抗劑,脂溶性高易穿越血腦障壁,具明顯中樞抑制而引起嗜睡,故 C 描述錯誤,選 C。A 正確,阻斷 H1 受體可改善過敏症狀;B 正確,口服吸收良好;D 正確,其本質即為組織胺 H1 受體拮抗劑。故正解為 C。","對比:第一代抗組織胺(diphenhydramine、chlorpheniramine)易入中樞→嗜睡、抗膽鹼副作用,也因此被用作助眠與止暈;第二代(cetirizine、loratadine)極性高、不易入腦,較少嗜睡。記憶:第一代=想睡、口乾;第二代=清醒、專一。",[25,27,30,32],{"term":26,"count":11},"血腦障壁穿透",{"term":28,"count":29},"Diphenhydramine",1,{"term":31,"count":29},"第一代 H1 受體拮抗劑",{"term":33,"count":29},"中樞抑制嗜睡",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-basic-medicine-036","有關 Angiotensin-converting enzyme inhibitors （ ACEIs）用於治療心衰竭的作用機制之敘述，下列何者錯誤？",36,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-basic-medicine-032","下列抗生素之敘述，何者最不適當？",32,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-basic-medicine-026","胎血循環中，靜脈導管連接臍靜脈與下列何者？",26,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-basic-medicine-064","器官移植所引發的急性排斥作用，可運用 cyclosporine 以緩解免疫性組織損壞，其藥理作用機制為何？",64,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-basic-medicine-028","腎小球濾液與血漿的組成，主要差異為下列何者？",28,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-basic-medicine-062","下列何者屬於腦下垂體後葉分泌的激素，可用於治療尿崩症？",62,109,"2026-09-04",1788510758818]