[{"data":1,"prerenderedAt":25},["ShallowReactive",2],{"$f0IxAfDEGOn3qFi406a04jR8ldySotgn6AmEIo_uHu7k":3},{"card":4,"examId":6,"chapterTitle":22,"prev":23,"next":24},{"id":5,"examId":6,"prompt":7,"answer":8,"choices":9,"questionType":14,"explanation":15,"explanationDetail":16,"mistakeHint":16,"lectureRef":16,"storyRef":16,"chapterSlug":17,"sectionCode":18,"sectionTitle":19,"clusterSlug":20,"term":16,"sequenceOrder":16,"regionWeight":16,"revisionMark":16,"isActive":21},"ch2-094","touhan","舌下錠やニコチン咀嚼剤などが、肝初回通過効果を受けない理由はどれか。",2,[10,11,12,13],"胃酸によって有効成分が分解されるため","腎臓から直接排泄されるため","口腔粘膜を通る静脈血が、肝臓を経由せずに心臓に至るため","消化管からは一切吸収されないため","four","口の粘膜（舌の下など）から吸収された成分は、肝臓を通る「門脈」ではなく、そのまま心臓へと向かう血管に入ります。そのため、肝臓で分解（代謝）されずにすぐ全身へ回ります。",null,"chapter-2","2-II","薬が働く仕組み","nenmaku-kyuushuu",true,"第2章 人体の働きと医薬品","ch2-093","ch2-095",1784619073724]