[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-1-基礎醫學-036","nurse-115-1-basic-medicine-036",115,1,36,"有關吸入性麻醉劑的最低肺泡濃度（minimum alveolar concentration, MAC）之敘述，下列何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"可用以量化吸入性麻醉劑的效價（potency）","一般以混合氣體中達到某一作用所需之氣體百分比來表示","麻醉劑效價（potency）與 MAC 成正比","酒精成癮者之 MAC 值較高","C",null,[],"本題考點是吸入性麻醉劑最低肺泡濃度的定義與臨床意涵。最低肺泡濃度指在一大氣壓下，使半數受試者對標準疼痛刺激不再有體動反應時，所需的肺泡內麻醉氣體濃度百分比，因此它是用來量化效價的指標。既然效價越強的藥只需越低濃度就能達到同樣效果，效價與最低肺泡濃度的關係是成反比而非正比，故最不適當的敘述是 C。A 與 B 正確描述其用途與表示方式。D 正確，酒精成癮者因交叉耐受性，最低肺泡濃度值會升高，需要較高濃度才能達到相同麻醉深度。","把最低肺泡濃度理解成麻醉劑版的半數有效劑量，就能一次推出多個關聯：值越小越強，故效價順序上七氟烷等強效藥數值低，一氧化二氮數值遠高於百分之百而無法單用達到手術麻醉，只能作輔助以發揮其相加效果。影響因素也可分兩類記：使值降低者包括高齡、低體溫、懷孕、低血壓、併用鴉片類或鎮靜安眠藥；使值升高者包括嬰幼兒、發燒、慢性酒精使用、交感興奮藥物。另一條軸線是溶解度：血中溶解度低的藥誘導與甦醒快，與效價是各自獨立的性質，常被混為一談而失分。可連結概念：半數有效劑量、相加效果、血氣分配係數、交叉耐受性。",[25,27,29,31],{"term":26,"count":11},"最低肺泡濃度定義",{"term":28,"count":11},"效價與 MAC 成反比",{"term":30,"count":11},"交叉耐受性",{"term":32,"count":11},"吸入性麻醉劑藥理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-1-basic-medicine-037","下列何種抗組織胺（antihistamines）較不易有昏睡之副作用？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-106-1-basic-medicine-033","下列何種細胞在慢性發炎的病灶中出現的機會最少？",33,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-basic-medicine-047","有關髓芽母細胞瘤（medulloblastoma）的敘述，下列何者錯誤？",47,2,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-108-1-basic-medicine-005","下列何者含副鼻竇？",5,108,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-109-1-basic-medicine-049","有關抗高血壓藥物的敘述，下列何者錯誤？",49,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-basic-medicine-003","下列何者藉由跟腱（Achilles tendon）附著於跟骨？",3,110,"2026-08-06",1787299087848]