[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-060":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-060","nurse-106-2-basic-medicine-060",106,2,60,"有關 paclitaxel 的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可用來治療卵巢癌與乳癌","肝功能不全者應該調整劑量","副作用包括 neutropenia 與過敏反應","主要是屬於烷基化（alkylating）類藥物，會使 DNA 烷基化","D",null,[],"本題考點為紫杉醇(paclitaxel)的分類與作用,題目問錯誤者。答案 D:paclitaxel 屬紫杉烷(taxane)類,作用是穩定微管、抑制紡錘體解聚而阻止有絲分裂,並非烷基化藥物,故 D 敘述錯誤。A 用於卵巢癌與乳癌,正確。B 主要經肝臟 CYP 代謝,肝功能不全需調整劑量,正確。C 骨髓抑制的嗜中性球低下(neutropenia)與過敏反應為其常見副作用,正確,故僅 D 分類有誤。","紫杉醇與長春花生物鹼(vinca alkaloids)都作用於微管,但方向相反:紫杉醇『穩定』微管使之無法解聚,vincristine 則『阻止聚合』,兩者皆卡在 M 期。烷基化藥物(如 cyclophosphamide)是共價鍵結 DNA。paclitaxel 溶於 Cremophor EL 易致過敏,故需前置類固醇與抗組織胺。記憶:taxane『鎖住』微管、vinca『拆散』微管。",[25,28,30,32],{"term":26,"count":27},"紫杉烷 taxane",1,{"term":29,"count":27},"微管穩定劑",{"term":31,"count":27},"有絲分裂 M 期",{"term":33,"count":27},"烷基化藥物對照",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-061","下列何者為治療甲狀腺風暴（thyroid storm）之首選藥物？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-077","肝炎病毒中，唯一屬於 DNA 病毒的是下列那一種病毒？",77,107,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-108-1-basic-medicine-011","卵巢排卵（ovulation）時，下列何者不會隨著卵母細胞（oocyte）一起排出？",11,108,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-109-1-basic-medicine-049","有關抗高血壓藥物的敘述，下列何者錯誤？",49,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-2-basic-medicine-013","腎小體（renal corpuscle）的過濾膜（filtration membrane），不含下列那一構造？",13,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-047","下列何種黴菌常經由呼吸道感染？",47,111,"2026-09-04",1788510696691]