[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-061","nurse-106-1-basic-medicine-061",106,1,61,"Ondansetron 之臨床適應症為：",{"A":15,"B":16,"C":17,"D":18},"細菌性下痢","腹瀉型腸躁症","化療（chemotherapy）引起之嘔吐","胃食道逆流症（gastroesophageal reflux disease）","C",null,[],"本題考點在 5-HT3 受體拮抗劑的止吐機轉與適應症。依 Ondansetron 屬選擇性 5-HT3 受體拮抗劑，能阻斷化療藥物刺激腸道嗜鉻細胞釋放血清素、進而活化迷走神經與嘔吐中樞的路徑，故主要用於化療（chemotherapy）引起之噁心嘔吐，選 C。A 細菌性下痢屬感染性腹瀉，靠抗生素與補液，與止吐機轉無關；B 腹瀉型腸躁症以解痙、調節腸道蠕動藥物為主，非 5-HT3 止吐劑適應症；D 胃食道逆流症需制酸劑、氫離子幫浦抑制劑（PPI）處理胃酸，並非止吐用藥。","Ondansetron 字尾「-setron」即 5-HT3 拮抗劑家族標記（如 Granisetron、Palonosetron）；化療止吐常與 Dexamethasone、NK1 拮抗劑（Aprepitant）併用形成三聯方案。記法：致吐訊號經 5-HT3→迷走神經→嘔吐中樞，攔在源頭最有效。",[25,28,31,33],{"term":26,"count":27},"5-HT3 受體拮抗劑",3,{"term":29,"count":30},"Ondansetron",2,{"term":32,"count":30},"化療引起噁心嘔吐",{"term":34,"count":30},"嘔吐中樞",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-1-basic-medicine-062","下列何種藥物作用不會增加體重？",62,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-106-2-basic-medicine-078","治療愛滋病之藥物 zidovudine（AZT）的作用為：",78,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-107-2-basic-medicine-012","有關小腸絨毛的敘述，下列何者錯誤？",12,107,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-108-2-basic-medicine-050","下列何者不是使用嗎啡類藥物（opioids）常見之副作用？",50,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-1-basic-medicine-014","依照大腸（large intestine）前後排列之順序，下列何者在最前端？",14,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-1-basic-medicine-048","下列何者是病理性骨折（pathological fracture）？",48,111,"2026-09-04",1788510691460]