[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":11},"nurse-108-1-基礎醫學-058","nurse-108-1-basic-medicine-058",108,1,58,"下列何種苯二氮平（Benzodiazepine）藥物，最易引起較嚴重之戒斷症狀（如：焦慮）？",{"A":15,"B":16,"C":17,"D":18},"Clorazepate","Triazolam","Diazepam","Lorazepam","B",null,[],"本題考點在苯二氮平（BZD）作用時效與戒斷嚴重度的關係。半衰期短、作用起落快的 BZD，血中濃度驟降時反彈最劇，戒斷症狀（焦慮、失眠、癲癇）最嚴重；依此選 B Triazolam，它是超短效 BZD，最易產生嚴重反彈與戒斷。A Clorazepate 為長效前驅藥，代謝為長效活性物，戒斷平緩。C Diazepam 半衰期長且有長效活性代謝物，濃度下降慢，戒斷較輕。D Lorazepam 為中效，起落較 Triazolam 緩，故短效的 Triazolam 戒斷最嚴重。","BZD 依半衰期分：長效（Diazepam、Clorazepate、Chlordiazepoxide）、中效（Lorazepam、Alprazolam、Temazepam）、短效（Triazolam、Midazolam）。通則：作用愈快、時效愈短者成癮性與反彈戒斷愈強。臨床戒治時常反用長效 BZD 遞減以平順脫離。記憶三個不經肝臟 CYP 氧化、只走葡萄醣醛酸接合的 BZD『LOT』= Lorazepam、Oxazepam、Temazepam，適合肝功能不佳者。Triazolam 另以順行性失憶著稱。",[25,27,29,31,33],{"term":26,"count":11},"苯二氮平",{"term":28,"count":11},"半衰期與戒斷",{"term":30,"count":11},"Triazolam 短效",{"term":32,"count":11},"反彈性焦慮",{"term":34,"count":11},"BZD 分類",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-059","下列 NSAIDs 藥物中，何者產生出血的機會最低？",59,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-108-2-basic-medicine-075","CD4 T 細胞活化後，可以依據其所分泌的細胞激素種類分成不同 T H 亞群（subset）。下列敘述何者正確？",75,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-109-2-basic-medicine-009","嗜鉻性細胞（chromaffin cells）主要位於下列何構造中？",9,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-basic-medicine-047","關於腎臟囊腫疾病（cystic disease of the kidney），下列何者錯誤？",47,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-041","有關細菌內毒素（endotoxin）的敘述，下列何者錯誤？",41,112,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-113-2-basic-medicine-035","下列利尿劑中，何者排尿效果最顯著，除了可以改善水腫，亦可用於治療高血鈣症（hypercalcemia）？",35,113,"2026-09-04",1788510708593]