[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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,"freq":11},"nurse-106-1-基礎醫學-052","nurse-106-1-basic-medicine-052",106,1,52,"局部麻醉劑使用在發炎組織時其藥效降低，最主要的原因為何？",{"A":15,"B":16,"C":17,"D":18},"局部組織的 pH 值下降，使藥物的脂溶性降低","局部組織的 pH 值上升，使藥物的脂溶性降低","發炎因子干擾藥效","藥物在發炎組織易產生抗藥性","A",null,[],"本題考點為發炎組織降低局部麻醉劑藥效的原因。依局麻藥理,局部麻醉劑為弱鹼,需以非解離的脂溶型穿過神經細胞膜才能作用;發炎組織 pH 值下降(偏酸),使藥物更多解離為離子型、脂溶性降低而不易進入神經,藥效因而減弱,故正解為 A。選項 B 方向相反,發炎是 pH 下降而非上升,錯。發炎因子並非藥效下降的主要機轉,C 錯。局部麻醉劑藥效減弱屬酸鹼分配問題,並非產生抗藥性,D 錯。",[24,27,31,35,39,43],{"webId":25,"stem":26,"number":11,"year":10,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",{"webId":28,"stem":29,"number":30,"year":10,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":32,"stem":33,"number":34,"year":10,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840732304]