[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-107-1-基礎醫學-058","nurse-107-1-basic-medicine-058",107,1,58,"下列關於利尿劑的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"Acetazolamide 會產生代謝性酸中毒","Triamterene 會產生代謝性酸中毒","Spironolactone 會產生低血鉀現象","Furosemide 可能會產生低血鉀現象","C",null,[],"本題考點是利尿劑對鉀離子與酸鹼平衡的影響,屬反向題,問何者敘述錯誤。Spironolactone 是醛固酮拮抗劑,屬保鉀利尿劑,會造成高血鉀而非低血鉀,故錯誤敘述為 C。A Acetazolamide 抑制碳酸酐酶、流失碳酸氫根,確會產生代謝性酸中毒,正確;B Triamterene 阻斷遠端腎小管鈉通道保鉀排氫,亦可致代謝性酸中毒,正確;D Furosemide 為亨利氏環利尿劑,大量排鉀確可能造成低血鉀,正確。","利尿劑與鉀:排鉀利尿劑(furosemide 環利尿、thiazide)→低血鉀+代謝性鹼中毒;保鉀利尿劑(spironolactone、triamterene、amiloride)→高血鉀,且抑制遠端排氫可致代謝性酸中毒;碳酸酐酶抑制劑(acetazolamide)→流失 HCO₃⁻ 造成代謝性酸中毒。記憶:『保鉀=升鉀(hyperK)』,spironolactone 額外有抗雄性素副作用(男性女乳)。臨床常把環\u002Fthiazide 與保鉀劑併用互補鉀平衡。",[25,28,30,32],{"term":26,"count":27},"保鉀利尿劑",2,{"term":29,"count":11},"Spironolactone",{"term":31,"count":11},"高血鉀",{"term":33,"count":11},"利尿劑與酸鹼\u002F電解質平衡",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-basic-medicine-059","下列有關 Mannitol 之敘述，何者錯誤？",59,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-107-2-basic-medicine-075","白色念珠菌（C. albicans）的結構及生理特性，下列何者錯誤？",75,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-108-2-basic-medicine-009","下列血球何者最終成熟的位置不是在骨髓？",9,108,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-2-basic-medicine-047","下列甲狀腺癌那一種最容易產生類澱粉沉積症（amyloidosis）？",47,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-011","下列何者不屬於小腸的一部分？",11,111,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-112-2-basic-medicine-025","由於發炎導致組織表面壞死，稱為：",25,112,"2026-09-04",1788510701427]