[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":26},"nurse-107-2-內外科護理學-070","nurse-107-2-medical-surgical-070",107,2,70,"有關使用抗甲狀腺硫醯胺類（thionamides）藥物之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"一般先用大劑量再逐漸減量","症狀消失後即可停藥","通常效果須等 2～3 個月後才顯現出來","副作用易導致顆粒性白血球增多","A",null,[],"本題考點在抗甲狀腺硫醯胺類(thionamides,如 PTU、methimazole)的用藥原則。依治療策略,此類藥物初期以較大劑量抑制甲狀腺荷爾蒙合成,待症狀改善後再逐漸減至維持量,故選 A。選項 B 錯,症狀消失不等於痊癒,需持續服藥數月至一兩年,自行停藥易復發;選項 C 錯,藥物僅阻斷新荷爾蒙合成,已儲存者仍會釋出,故效果約於數週後顯現而非須等 2～3 個月;選項 D 錯,其嚴重副作用是顆粒性白血球『減少』(agranulocytosis)而非增多。","Thionamides 抑制甲狀腺過氧化酶,阻斷碘的有機化與偶合,減少新荷爾蒙合成,但對腺體內已合成儲存的荷爾蒙無效,故起效需等既存荷爾蒙耗盡(數週)。最須警覺的不良反應是顆粒性白血球缺乏症,出現發燒、喉嚨痛應立即檢查白血球。PTU 另有肝毒性風險。口訣:先大後小、效果慢、最怕白血球掉。",[24,27,29,31],{"term":25,"count":26},"抗甲狀腺藥物",1,{"term":28,"count":26},"硫醯胺類 thionamides",{"term":30,"count":26},"顆粒性白血球缺乏",{"term":32,"count":26},"先大劑量後減量",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-071","救護車送入一位昏迷病人，心跳 120 次\u002F分，血壓 85\u002F50 mmHg，呼吸速率 35 次\u002F分，呼吸有一股很濃的腐壞水果味，血糖為 600 mg\u002FdL。下列何者為其最可能之診斷？",71,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-medical-surgical-007","有關腦瘤之敘述，下列何者正確？①腦膜瘤好發於男性 ②續發性腦瘤常見於肺癌或乳癌病人 ③突然的發作抽搐是腦瘤的明顯指標 ④星狀細胞瘤好發於女性",7,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-medical-surgical-021","有關美尼爾氏症候群的敘述，下列何者錯誤？",21,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-medical-surgical-059","病人的動脈血氧分析結果 PaO 2 值為 50 mmHg，此病人 PaO 2 的判讀及處置，下列何者正確？",59,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-medical-surgical-023","有關美尼爾氏症候群（Meniere’s disease）病人的護理指導，下列何者錯誤？",23,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-medical-surgical-057","有關單側自發性氣胸病人之身體檢查評估結果，下列何者錯誤？",57,112,"2026-09-04",1788510725514]