[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-052":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-052","nurse-107-2-basic-medicine-052",107,2,52,"下列何種抗癲癇藥物對突觸小泡蛋白（synaptic vesicle protein, SV2A）的親和力最高？",{"A":15,"B":16,"C":17,"D":18},"oxcarbazepine","levetiracetam","phenytoin","felbamate","B",null,[],"本題考點是抗癲癇藥的分子作用標的。依神經藥理學,levetiracetam 的獨特機轉是結合突觸小泡蛋白 SV2A,調節神經傳導物質釋放而抑制異常放電,對 SV2A 親和力最高,故選 B。A oxcarbazepine 與 C phenytoin 主要阻斷電壓依賴性鈉離子通道,穩定神經細胞膜,並非作用於 SV2A。D felbamate 主要與 NMDA 受體阻斷及 GABA 增強有關,亦非 SV2A。levetiracetam 因作用機轉獨特、藥物交互作用少,是臨床常用的新型抗癲癇藥。",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？",6,1783840749655]