[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-058":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-110-1-基礎醫學-058","nurse-110-1-basic-medicine-058",110,1,58,"Alteplase 主要用於治療急性缺血性中風、心肌梗塞、肺栓塞、深部靜脈栓塞，其藥理作用機轉為何？",{"A":15,"B":16,"C":17,"D":18},"不可逆結合抑制凝血酶 IIa","可逆結合抑制凝血酶 Xa","活化已經和血栓結合之胞漿素原（fibrin-bound plasminogen）","活化 vitamin K 環氧化還原酶（epoxide reductase）","C",null,[],"本題考點是血栓溶解劑 alteplase 的作用機轉。依藥理學,alteplase 是組織型胞漿素原活化劑,能選擇性活化「已與血栓結合」的 plasminogen 使其轉為胞漿素,進而分解纖維蛋白溶解血栓,故選 C。考點在於分清抗凝與溶栓機轉:A 不可逆抑制凝血酶 IIa 描述的是直接凝血酶抑制劑;B 可逆抑制凝血因子 Xa 是新型口服抗凝劑的機轉;D 活化維生素 K 環氧化還原酶方向相反(warfarin 是抑制此酶),三者皆為抗凝而非溶栓,唯 C 為 tPA 的溶栓機轉。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"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":33,"stem":34,"number":35,"year":27,"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":37,"stem":38,"number":39,"year":27,"session":11},"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":27,"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":45,"stem":46,"number":47,"year":27,"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？",6,1783840761162]