[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-064","nurse-108-1-basic-medicine-064",108,1,64,"下列何種反轉錄酶（reverse transcriptase）抑制劑，不適用於人類免疫不全病毒（HIV）感染的治療？",{"A":15,"B":16,"C":17,"D":18},"Adefovir","Lamivudine","Tenofovir","Zidovudine","A",null,[],"本題考點在反轉錄酶抑制劑的臨床適應症區辨。四者雖皆抑制反轉錄酶，但 A Adefovir 主要核准用於 B 型肝炎病毒（HBV），並非用於人類免疫不全病毒（HIV），故選 A。B Lamivudine 為核苷類反轉錄酶抑制劑，同時用於 HIV 與 HBV。C Tenofovir 亦同時用於 HIV 與 HBV，是抗 HIV 常用骨幹藥。D Zidovudine（AZT）是最早的抗 HIV 反轉錄酶抑制劑，三者皆屬 HIV 治療用藥，唯 Adefovir 不用於 HIV。","HBV 與 HIV 皆需反轉錄酶，故部分核苷酸類似物兩病毒共用（Lamivudine、Tenofovir、Entecavir 對 HBV；其中 Lamivudine、Tenofovir 也抗 HIV）。Adefovir 對 HIV 需高劑量而具腎毒性，故僅發展為 HBV 用藥。臨床合併 HIV 與 HBV 者選 Tenofovir + Lamivudine（或 Emtricitabine）可一石二鳥。記憶：HIV 骨幹常見『Tenofovir\u002FEmtricitabine』；HBV 一線『Tenofovir、Entecavir』；Adefovir 是舊 HBV 藥、不入 HIV 方案。",[25,28,29,31,33],{"term":26,"count":27},"反轉錄酶抑制劑",2,{"term":15,"count":11},{"term":30,"count":11},"B 型肝炎病毒",{"term":32,"count":11},"HIV 治療",{"term":34,"count":11},"核苷酸類似物",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-065","蛋白質感染原（prion）是非微生物性的病原體，下列敘述何者正確？",65,{"webId":41,"stem":42,"number":11,"year":43,"session":11},"nurse-109-1-basic-medicine-001","下列有關汗腺的敘述，何者正確？",109,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-109-2-basic-medicine-015","從脊髓圓錐（conus medullaris）向下延伸，下列何者連結尾骨，可用來幫忙固定脊髓？",15,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-2-basic-medicine-053","免疫抑制劑 mycophenolate mofetil 用於腎臟移植時，可減少淋巴細胞異常增殖而緩解腎臟排斥作用，其作用機轉為何？",53,110,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-1-basic-medicine-047","下列何種病毒感染與鼻咽癌的形成最有關？",47,112,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-113-2-basic-medicine-041","有關細菌內毒素（endotoxin），下列敘述何者最不適當？",41,113,"2026-09-04",1788510708638]