[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-059":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-059","nurse-107-2-basic-medicine-059",107,2,59,"下列何種藥物可作為制酸劑（antacids），但容易造成腹瀉的副作用？",{"A":15,"B":16,"C":17,"D":18},"aluminum hydroxide","bismuth subsalicylate","calcium carbonate","magnesium hydroxide","D",null,[],"本題考點是制酸劑的成分與腸道副作用對應。依藥理學,含鎂制酸劑（如 magnesium hydroxide)因鎂離子在腸道吸收差、造成滲透性瀉下,易引起腹瀉,故選 D。A aluminum hydroxide 含鋁,傾向造成便秘,與含鎂者相反。B bismuth subsalicylate 主要用於腹瀉與幽門螺旋桿菌,並非以腹瀉為典型副作用。C calcium carbonate 含鈣,也偏向便秘並可能引起反彈性胃酸分泌。臨床上常把含鎂與含鋁製劑併用,以互相抵消腹瀉與便秘的副作用。","口訣記憶:「鎂瀉鋁秘」——含鎂（magnesium)＝腹瀉（滲透效應),含鋁（aluminum)＝便秘。故複方制酸劑（如同時含鋁與鎌)設計上讓兩者副作用互相抵消。含鈣（calcium carbonate)＝便秘＋可能反彈性泌酸與高血鈣（過量),長期大量與吸收不良症候群相關。其他注意:腎功能不全者用含鎂制酸劑有高血鎂風險、含鋁長期使用有磷酸鹽結合與骨病變疑慮。可連結:滲透性瀉下、電解質、反彈性胃酸分泌。",[25,28,30,32],{"term":26,"count":27},"制酸劑副作用",1,{"term":29,"count":27},"含鎂制酸劑致腹瀉",{"term":31,"count":27},"含鋁致便秘",{"term":33,"count":27},"滲透性瀉下",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-060","下列醛固酮（aldosterone）的拮抗劑中，何者可作為降血壓藥物，但不抑制睪丸酮（testosterone）之合成？",60,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-108-1-basic-medicine-076","關於白喉桿菌（Corynebacterium diphtheriae ）的敘述，下列何者正確？",76,108,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-109-1-basic-medicine-010","下列何者不是上肢的淺層靜脈？",10,109,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-110-1-basic-medicine-048","關於正常骨折癒合的過程，下列那一個順序是正確的？",48,110,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-2-basic-medicine-012","當小偷被警察追著跑時，下列何者不是小偷的交感神經調控之生理作用？",12,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-1-basic-medicine-006","科林菲特氏症（Klinefelter's syndrome）患者的白血球細胞核旁，最多可以看到幾個巴氏體（barr body）？",6,113,"2026-09-04",1788510723855]