[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-063":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-063","nurse-110-1-basic-medicine-063",110,1,63,"下列何者的藥理作用機轉是抑制細胞內微小管（microtubule）的聚合，並具有較低的骨髓抑制作用？",{"A":15,"B":16,"C":17,"D":18},"Colchicine","Docetaxel","Vinblastine","Vincristine","D",null,[],"本題考點在辨識抗微小管抗癌藥的機轉分型與毒性差異。依作用機轉，Vinca生物鹼會結合tubulin、抑制微小管「聚合」而使紡錘體無法形成，Vincristine即屬此類；其劑量限制毒性為周邊神經病變，骨髓抑制相對輕微，故選D。Vinblastine雖同為Vinca生物鹼、機轉相同，但骨髓抑制明顯較強，不符「較低骨髓抑制」；Docetaxel屬紫杉烷類，作用相反，是「穩定」微小管、抑制其解聚，且骨髓抑制顯著；Colchicine雖也抑制微小管聚合，但用於痛風而非抗癌，方向不符。故答案為D。",[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？",6,1783840761218]