[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-049":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-049","nurse-107-2-basic-medicine-049",107,2,49,"肝臟代謝藥物的反應可分為第一相（phase I）及第二相（phase II）。有關藥物代謝的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"藥物皆須經過第一相及第二相的代謝反應才能排出體外","藥物的代謝皆須依序先經第一相反應，再經第二相反應","細胞色素（cytochrome）P450 酵素系統參與第一相代謝反應","水解作用（hydrolysis）及結合作用（conjugation）屬於第一相代謝反應","C",null,[],"本題考點是肝臟藥物代謝第一相與第二相的原理。依藥理學,細胞色素 P450 酵素系統負責第一相反應（氧化、還原、水解),為藥物引入或暴露官能基,故 C 正確。A 錯,並非所有藥物都要經歷兩相;有些僅經第一相或僅經第二相即可排出。B 錯,兩相「無固定先後」,藥物可直接進入第二相,不必先經第一相。D 錯,水解屬第一相,但結合作用（conjugation,如與葡萄糖醛酸結合)屬「第二相」,把兩者都歸第一相是錯的。第一相多使藥物極性略增,第二相結合後大幅提高水溶性以利排出。",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？",6,1783840749629]