[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-107-1-內外科護理學-014","nurse-107-1-medical-surgical-014",107,1,14,"有關 C 型肝炎的治療，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"干擾素加上 Ribavirin 是目前標準治療模式","使用干擾素治療會使肝功能 ALT、AST 上升","Lamivudine 可抑制 C 型肝炎病毒 RNA 的複製","Lamivudine 副作用為體重增加、全血球數上升、亢奮","A",null,[],"本題考點是 C 型肝炎的藥物治療。依題目年代的標準治療模式，是以長效干擾素合併抗病毒藥 Ribavirin 來抑制 C 肝病毒複製，故A正確。B干擾素治療目標是抑制病毒使肝功能好轉，並非使 ALT、AST 上升，錯;C、D的 Lamivudine 為 B 型肝炎所用的核苷類反轉錄酶抑制劑，作用於 B 肝病毒 DNA 複製，並不抑制 C 肝病毒 RNA，其副作用描述亦不符，故C、D皆錯。","須先分清 B 肝與 C 肝用藥:B 肝為 DNA 病毒,用核苷(酸)類似物如 lamivudine、entecavir、tenofovir 抑制反轉錄;C 肝為 RNA 病毒,舊時代標準為 pegylated interferon + ribavirin。本題屬 107 年,尚以此為「標準」;而近年 C 肝已由直接作用抗病毒藥(DAA,如 sofosbuvir)取代,口服 8-12 週治癒率超過 95%,interferon 幾已退場。作答時須以題目年代脈絡判斷。ribavirin 主要副作用為溶血性貧血,且具致畸性,用藥期間須避孕。",[24,26,28,30],{"term":25,"count":10},"C 型肝炎治療",{"term":27,"count":10},"干擾素合併 Ribavirin",{"term":29,"count":10},"Lamivudine 為 B 肝用藥",{"term":31,"count":10},"RNA 病毒複製",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-015","有關肝癌病人接受動脈栓塞療法（Transcatheter Arterial Embolization, TAE）之敘述，下列何者正確？",15,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-medical-surgical-031","有關評估交通靜脈與隱靜脈瓣功能之檢查，下列何者正確？",31,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-045","有關生殖器疱疹的敘述，下列何者錯誤？",45,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-medical-surgical-003","有關慢性硬膜下出血（chronic subdural hematoma；chronic SDH）之敘述，下列何者正確？",3,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-medical-surgical-047","有關燒傷病人敷料應用的敘述，下列何者錯誤？",47,110,{"webId":58,"stem":59,"number":10,"year":60,"session":10},"nurse-112-1-medical-surgical-001","罹患腦下垂體腫瘤病人，醫師建議使用伽馬刀療法，下列何者顯示病人已了解本項治療？",112,"2026-09-04",1788510702552]