[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":10},"nurse-108-2-內外科護理學-008","nurse-108-2-medical-surgical-008",108,2,8,"有關青光眼藥物治療作用之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可使用縮瞳劑","pilocarpine 可促進房水流入許萊姆氏管","timolol 可減少房水分泌","diamox 可促進房水排出","D",null,[],"本題考點是青光眼藥物作用機轉，要選「錯誤」者。依 diamox（acetazolamide）為碳酸酐酶抑制劑，作用在減少房水「生成」以降眼壓，並非促進房水「排出」，故選 D 為錯誤敘述。選項 A 正確，青光眼可用縮瞳劑（miotics）開放隅角促房水排出；選項 B 正確，pilocarpine 收縮瞳孔、牽動小樑網使房水易流入許萊姆氏管（Schlemm's canal）；選項 C 正確，timolol 為 β 受體阻斷劑，減少睫狀體房水分泌。辨識關鍵在 diamox 是抑制生成而非促進排出。","青光眼降眼壓藥物依機轉分兩路：減少房水『生成』——β 阻斷劑（timolol）、碳酸酐酶抑制劑（acetazolamide\u002Fdiamox）、α2 致效劑；促進房水『排出』——縮瞳劑（pilocarpine）、前列腺素類似物（prostaglandin analogue，如 latanoprost）。房水由睫狀體分泌，經瞳孔到前房，再由隅角小樑網流入許萊姆氏管回收。記憶口訣：timolol 與 diamox 是『關水龍頭』（減分泌），pilocarpine 是『通排水孔』（增排出）。可連結隅角開放型與閉鎖型青光眼、眼壓正常值 10–21 mmHg。",[24,26,29,31],{"term":25,"count":10},"房水生成與排出",{"term":27,"count":28},"青光眼藥物機轉",1,{"term":30,"count":28},"碳酸酐酶抑制劑 diamox",{"term":32,"count":28},"pilocarpine 縮瞳",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-009","有關上消化道出血的臨床表徵，下列何者正確？",9,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-medical-surgical-025","一位 26 歲新婚女性，有計畫懷孕，近日因心臟不適，經醫師診斷二尖瓣狹窄，並建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用之敘述，下列何者最適當？",25,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-039","有關放射線治療癌症之敘述，下列何者正確？",39,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-medical-surgical-077","何處骨折最適合使用八字繃帶法進行固定？",77,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-medical-surgical-041","有關良性腫瘤及惡性腫瘤之敘述，下列何者正確？",41,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",113,"2026-09-04",1788510706251]