[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-106-1-基礎醫學-060","nurse-106-1-basic-medicine-060",106,1,60,"下列何種抗胃潰瘍藥物有抑制肝臟細胞色素 P450（cytochrome P450）的作用？",{"A":15,"B":16,"C":17,"D":18},"Ondansetron","Cimetidine","Nizatidine","Ranitidine","B",null,[],"本題考點為具肝臟細胞色素 P450 抑制作用的抗胃潰瘍藥。依藥物交互作用藥理,Cimetidine 為第一代 H2 受體阻斷劑,可抑制肝臟細胞色素 P450 酵素,減慢多種併用藥物代謝而升高其血中濃度,故正解為 B。Ondansetron 為 5-HT3 拮抗劑,用於止吐而非抑制 P450,A 錯。Nizatidine 與 Ranitidine 同屬 H2 阻斷劑,但對 P450 的抑制作用遠弱於 cimetidine、臨床交互作用少,C、D 錯。","記憶重點:同為 H2 阻斷劑,唯 cimetidine 顯著抑制 CYP450,故與 warfarin、phenytoin、theophylline 等併用易致中毒,是最愛考的藥物交互作用。cimetidine 另可抑制雄性素受體致男性女乳,ranitidine、famotidine 則較無此問題,故臨床多改用後者。",[25,28,30,32],{"term":26,"count":27},"藥物交互作用",3,{"term":16,"count":29},2,{"term":31,"count":11},"H2 受體阻斷劑",{"term":33,"count":11},"抑制細胞色素 P450",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-basic-medicine-061","Ondansetron 之臨床適應症為：",61,{"webId":40,"stem":41,"number":42,"year":10,"session":29},"nurse-106-2-basic-medicine-077","實驗室診斷病毒感染的其中一個方法是利用細胞培養方式。下列何種病毒會在患者腦部出現所謂的 Negri 小體（Negri body）？",77,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-107-2-basic-medicine-011","腎臟（kidney）的何部位具有腎絲球（glomerulus）的構造？",11,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-basic-medicine-049","下列何種藥物最常用來治療良性前列腺肥大症（benign prostatic hyperplasia）？",49,108,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-110-1-basic-medicine-013","下列那一種器官主要負責尿液（urine）的形成？",13,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-basic-medicine-047","下列何者不是引起快速進行（新月形）腎小球腎炎[Rapidly progressive （crescentic） glomerulonephritis] 的原因？",47,111,"2026-09-04",1788510691445]