[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-106-2-基礎醫學-054","nurse-106-2-basic-medicine-054",106,2,54,"下列用於 sleep disorders 之藥物，何者可明顯縮短入睡時間及減少睡眠中醒來次數，但會造成病人有白天中樞抑制（daytime sedation）之副作用？",{"A":15,"B":16,"C":17,"D":18},"clonazepam","diazepam","flurazepam","temazepam","C",null,[],"本題考點為苯二氮平類(benzodiazepine)安眠藥的半衰期與白天殘留鎮靜。flurazepam 屬長效型,其活性代謝物半衰期極長,可縮短入睡時間並減少夜間醒來,但藥效延續到白天造成 daytime sedation,選 C。A clonazepam 主要用於癲癇與抗焦慮。B diazepam 雖長效但主用抗焦慮、肌肉鬆弛與抗癲癇,非典型安眠劑。D temazepam 屬中效、無長效活性代謝物,白天殘留鎮靜較不明顯,故均非最符合者。","flurazepam 代謝為 desalkylflurazepam,半衰期可達數十至上百小時,連續服用會蓄積、造成白天嗜睡與跌倒風險,尤其老年人。臨床選安眠 BZD 常以半衰期為軸:短效(triazolam)入睡快、殘留少但易反彈失眠;長效(flurazepam)持續但白天鎮靜。記憶:半衰期越長,白天『餘毒』越多。",[25,28,30,32],{"term":26,"count":27},"苯二氮平類半衰期",1,{"term":29,"count":27},"flurazepam 活性代謝物",{"term":31,"count":27},"daytime sedation 白天鎮靜",{"term":33,"count":27},"藥物蓄積",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-055","下列何者不是服用 salicylates 所引起的副作用？",55,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-071","抗 methicillin 金黃色葡萄球菌（MRSA）之抗藥性機制為何？",71,107,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-108-1-basic-medicine-005","下列何者含副鼻竇？",5,108,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-109-1-basic-medicine-043","有關急性淋巴母細胞性白血病（Acute lymphoblastic leukemia\u002Flymphoma）的病理敘述，下列何者錯誤？",43,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-2-basic-medicine-007","脊髓的齒狀韌帶由下列何者衍生構成？",7,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-041","下列那一種作用過程，不能用來傳遞細菌的遺傳物質？",41,111,"2026-09-04",1788510696646]