[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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":23},"nurse-107-2-基礎醫學-022","nurse-107-2-basic-medicine-022",107,2,22,"肉毒桿菌毒素造成肌肉麻痺的原因為何？",{"A":15,"B":16,"C":17,"D":18},"關閉肌肉細胞膜上鉀離子通道，造成鈣離子通道開啟","促進神經突觸末端乙醯膽鹼（acetylcholine）釋放","破壞 SNARE 蛋白複合體，阻斷神經突觸末端乙醯膽鹼釋放","阻斷神經細胞膜上鈣離子通道開啟，抑制乙醯膽鹼釋放","C",null,[],"本題考點在肉毒桿菌毒素的分子機轉。肉毒桿菌毒素是一種蛋白酶,會切割並破壞神經末梢的 SNARE 蛋白複合體,使含乙醯膽鹼的突觸小泡無法與細胞膜融合、釋放受阻,運動終板得不到乙醯膽鹼而造成鬆弛性(弛緩性)麻痺,故機轉為破壞 SNARE 蛋白、阻斷乙醯膽鹼釋放,選 C。A 離子通道敘述與肉毒毒素機轉不符;B 促進乙醯膽鹼釋放方向恰相反;D 阻斷鈣通道並非肉毒毒素的作用點,其標的是 SNARE 蛋白而非鈣通道。切割 SNARE、阻止囊泡融合是關鍵。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":11,"year":28,"session":23},"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）？",{"webId":33,"stem":34,"number":35,"year":28,"session":23},"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":37,"stem":38,"number":39,"year":28,"session":23},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":28,"session":23},"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":45,"stem":46,"number":47,"year":28,"session":23},"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？",6,1783840749387]