[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-055","nurse-106-2-basic-medicine-055",106,2,55,"下列何者不是服用 salicylates 所引起的副作用？",{"A":15,"B":16,"C":17,"D":18},"嘔吐","幻覺","代謝性鹼中毒","耳鳴","C",null,[],"本題考點為水楊酸類(salicylates)中毒的表現,題目問『非』副作用。答案為代謝性鹼中毒(C):水楊酸中毒典型是先刺激延腦呼吸中樞造成呼吸性鹼中毒,繼而干擾氧化磷酸化造成代謝性酸中毒,並非鹼中毒,故 C 為不會出現者。A 嘔吐屬直接腸胃刺激,常見。B 幻覺可見於高劑量中樞毒性。D 耳鳴為水楊酸中毒(salicylism)的典型早期指標,均屬真實副作用。","阿斯匹林中毒的酸鹼變化是經典考點:成人早期以過度換氣造成『呼吸性鹼中毒』,隨後因解偶聯氧化磷酸化、乳酸與酮酸堆積轉為『代謝性酸中毒』,常呈混合型。故『代謝性鹼中毒』方向剛好相反。耳鳴是劑量相關的可逆指標,可作為調整劑量參考。記憶:水楊酸『鹼在呼吸、酸在代謝』。",[25,28,30,33],{"term":26,"count":27},"呼吸性鹼中毒",3,{"term":29,"count":11},"代謝性酸中毒",{"term":31,"count":32},"salicylism 水楊酸中毒",1,{"term":34,"count":32},"耳鳴 tinnitus",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-basic-medicine-056","神經內科病人陳述時常嚴重單側頭痛，確診後為偏頭痛（migraine）。其治療處方為 sumatriptan，可使腦血管收縮，緩解頭痛。此藥物為下列何種自泌素之致效劑（agonist）？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-basic-medicine-072","下列何項病原菌並非經過水來傳播？",72,107,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-108-1-basic-medicine-006","下列何者直接與副睪相連？",6,108,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-109-1-basic-medicine-044","下列口腔黏膜病灶中，轉變成惡性腫瘤機會最高的是：",44,109,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-110-2-basic-medicine-008","腦下垂體細胞 HE 染色的特性與其功能的敘述，下列何者錯誤？",8,110,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-111-2-basic-medicine-042","尿漿菌（Ureaplasma）對萬古黴素（Vancomycin）具抵抗性的機制為何？",42,111,"2026-09-04",1788510696650]