[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-108-1-基礎醫學-053","nurse-108-1-basic-medicine-053",108,1,53,"下列何者不是治療骨質疏鬆症的藥物？",{"A":15,"B":16,"C":17,"D":18},"Betamethasone","Calcitonin","Bisphosphonates","Teriparatide","A",null,[],"本題考點在辨識何者非抗骨質疏鬆用藥。依藥理分類，治療骨鬆藥分為抑制骨吸收（雙磷酸鹽、抑鈣素）與促進骨生成（副甲狀腺素類似物）兩大類；A Betamethasone 是糖皮質類固醇，長期使用反而抑制成骨、增加骨吸收與尿鈣流失，是造成續發性骨質疏鬆的常見原因，故選 A。B Calcitonin（抑鈣素）抑制蝕骨細胞活性，減少骨吸收。C Bisphosphonates 抑制蝕骨細胞、為骨鬆一線用藥。D Teriparatide 為重組 PTH（1-34），間歇給藥促進成骨細胞造骨，三者皆為治療藥而非答案。","糖皮質類固醇造成骨鬆的機轉：抑制成骨細胞、促進成骨細胞與骨細胞凋亡、增加 RANKL 促蝕骨、減少腸道鈣吸收並增加腎鈣排除，形成『類固醇誘發性骨質疏鬆』。對比記憶：抑制骨吸收藥（抗吸收）= 雙磷酸鹽、Calcitonin、Denosumab、SERM；促骨生成（合成代謝）= Teriparatide、Romosozumab。Teriparatide 的巧妙在『間歇』給藥才促骨生成，持續高濃度 PTH 反而促骨吸收。",[25,28,30,32,33],{"term":26,"count":27},"雙磷酸鹽",2,{"term":29,"count":11},"骨質疏鬆治療藥",{"term":31,"count":11},"糖皮質類固醇",{"term":18,"count":11},{"term":34,"count":11},"抑鈣素",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-054","有關抗癌藥物之敘述，下列何者錯誤？",54,{"webId":41,"stem":42,"number":43,"year":10,"session":27},"nurse-108-2-basic-medicine-070","下列何者為胸腺的功能？",70,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-109-2-basic-medicine-004","女性會陰部的三個構造，由前往後的排序為何？①陰蒂 ②外尿道口 ③陰道口",4,109,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-110-2-basic-medicine-042","25 歲女性，因下腹部不適就醫，經醫師檢查後確定為良性卵巢腫瘤。下列何者的可能性最高？",42,110,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-112-1-basic-medicine-036","有機硝酸鹽用於治療及預防穩定型心絞痛，劑量大時會導致周邊阻力減少，引發反射性心跳加快，因此常與下列那類藥物合併使用來避免心絞痛惡化？",36,112,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-2-basic-medicine-030","下列何者最常引起「自發性蛛網膜下腔出血」（spontaneous subarachnoid hemorrhage）？",30,113,"2026-09-04",1788510708553]