[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-058":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-107-2-基礎醫學-058","nurse-107-2-basic-medicine-058",107,2,58,"一位年輕人時常服用止痛劑來緩解頭痛，最近發現有胃潰瘍情形，下列何種藥物比較有效改善此種胃潰瘍現象？",{"A":15,"B":16,"C":17,"D":18},"sucralfate","bismuth subsalicylate","gelusil","misoprostol","D",null,[],"本題考點是非類固醇抗發炎藥引起胃潰瘍的對因治療。依藥理學,止痛劑（NSAID)造成胃潰瘍的機轉是抑制環氧化酶使保護性前列腺素減少;misoprostol 是前列腺素 E1 類似物,可補回前列腺素、促進黏液與碳酸氫根分泌並抑制胃酸,直接對抗此機轉,故最能改善此類潰瘍,選 D。A sucralfate 是形成黏膜屏障的保護劑,非針對前列腺素缺乏機轉。B bismuth subsalicylate 主用於幽門螺旋桿菌與腹瀉,非首選。C gelusil 為制酸劑,僅中和胃酸、不補前列腺素,對因性最弱。","機轉對應:NSAID 潰瘍＝前列腺素↓（胃黏膜防禦下降),對因治療就是補前列腺素——misoprostol（PGE1 類似物)提升黏液／碳酸氫根、減少胃酸並增加黏膜血流。其他藥各有定位:sucralfate＝在潰瘍面形成物理屏障;制酸劑（gelusil,含鋁鎂)＝中和已分泌的酸;質子幫浦抑制劑亦常用於預防 NSAID 潰瘍。misoprostol 副作用連結:刺激子宮收縮（故孕婦禁用,亦用於引產),並可致腹瀉。可連結:前列腺素的胃黏膜保護、COX-1、質子幫浦抑制劑。",[25,28,30,32],{"term":26,"count":27},"NSAID 引起胃潰瘍",1,{"term":29,"count":27},"misoprostol 前列腺素 E1 類似物",{"term":31,"count":27},"前列腺素黏膜保護",{"term":33,"count":27},"制酸劑與黏膜保護劑對比",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-059","下列何種藥物可作為制酸劑（antacids），但容易造成腹瀉的副作用？",59,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-108-1-basic-medicine-075","下列何者與 CD8 T 細胞的作用較無關？",75,108,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-109-1-basic-medicine-009","冠狀動脈直接源自：",9,109,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-110-1-basic-medicine-047","陰莖鱗狀細胞瘤及前驅病變，與下列何種病毒最有關？",47,110,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-2-basic-medicine-011","有關無氧快肌與有氧慢肌的比較，下列何者正確？",11,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-1-basic-medicine-005","下列何者最可能促進生長激素（growth hormone）分泌？",5,113,"2026-09-04",1788510723840]