[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-062":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":26},"nurse-106-1-基礎醫學-062","nurse-106-1-basic-medicine-062",106,1,62,"下列何種藥物作用不會增加體重？",{"A":15,"B":16,"C":17,"D":18},"Glyburide","Repaglinide","Pioglitazone","Metformin","D",null,[],"本題考點在口服降血糖藥的體重副作用差異。依 Metformin 屬雙胍類（biguanide），主要抑制肝臟糖質新生並增加周邊胰島素敏感性，不刺激胰島素分泌，反而常伴食慾下降，故不會增加體重、甚至略減，選 D。A Glyburide 為磺醯尿素類（sulfonylurea），促進胰島素分泌易致體重上升；B Repaglinide 屬美格替耐類（meglitinide），同樣刺激胰島素分泌而增重；C Pioglitazone 為 thiazolidinedione（TZD），會促進脂肪生成與水分滯留而增加體重。","口訣：會「催胰島素分泌」或「TZD 存脂」的藥都胖，唯 Metformin 與 SGLT2 抑制劑、GLP-1 受體促效劑偏向減重。Metformin 也是第二型糖尿病首選起始藥，兼具心血管友善與低血糖風險低的優點。",[25,27,29,31,33],{"term":18,"count":26},2,{"term":28,"count":26},"磺醯尿素類",{"term":30,"count":11},"雙胍類",{"term":32,"count":11},"Thiazolidinedione",{"term":34,"count":11},"體重副作用",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-1-basic-medicine-063","下列青黴素類（penicillins）抗生素中，何者因為不易被葡萄球菌產生之 penicillinase 破壞，所以主要用於治療葡萄球菌造成之感染？",63,{"webId":41,"stem":42,"number":43,"year":10,"session":26},"nurse-106-2-basic-medicine-079","有關抗病毒藥物的敘述，何者正確？",79,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-107-2-basic-medicine-013","舌頭表面的何種乳頭會角質化，嚴重時會出現舌苔的現象？",13,107,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-108-2-basic-medicine-051","下列安眠藥中，何者不具有抗痙攣或肌肉鬆弛之特性，且長期使用較不易產生耐受性（tolerance）？",51,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-1-basic-medicine-015","下列何者不是由腹膜（peritoneum）衍生形成的構造？",15,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-1-basic-medicine-049","Dobutamine 可用於增加急性鬱血性心臟衰竭（congestive heart failure）病人的心輸出量（cardiac output），其作用主要是透過活化下列何種受體而產生？",49,111,"2026-09-04",1788510691464]