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※ 引述《cecropin (乾坤一擲)》之銘言: : 74.遲發性運動困難(Tardive dyskinesia)一般係由下列那一種原因所造成? : (A)去極化(Depolarization)所導致邊緣系統(Mesolimbic system)多巴胺(Dopamine : )神經元被抑制 : (B)多巴胺受體過度敏感性(Supersensitivity) : (C)藥物阻斷乙醯膽鹼系統的活性 : (D)阻斷血清素(Serotonin)受體 : 建議答案:A,B : 佐證資料 : BASIC & CLINICAL PHARMACOLOGY - 10th Ed. (2007) : Chapter 28. : Tardive dyskinesia, a disorder characterized by a variety of abnormal : movements, is a common complication of long-term neuroleptic drug treatment : (see Chapter 29). "Unfortunately, its precise pharmacologic basis is unclear." : A reduction in dose of the offending medication, a dopamine receptor blocker, : commonly worsens the dyskinesia, whereas an increase in dose may suppress it. : The drugs most likely to provide immediate symptomatic benefit are those : interfering with dopaminergic function, either by depletion (eg, reserpine, : tetrabenazine) or receptor blockade (eg, phenothiazines, butyrophenones). : Paradoxically, the receptor-blocking drugs are the very ones that also cause : the dyskinesia. : 其中第三行顯示機轉不明 : 但是可確定的是阻斷dopamine受體的藥物常有此副作用 : 而且B的答案並沒標示清楚是來自何ACh系統 : 所以建議A,B都給分 附上懶人包 麻煩順手寄一下 http://www.2shared.com/file/YXXuovqt/2101-74.html -- ※ 發信站: 批踢踢實業坊(ptt.cc) ◆ From: 114.41.182.132