[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-109-1-基礎醫學-059","nurse-109-1-basic-medicine-059",109,1,59,"有關抗生素 amoxicillin 之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"屬於 β-lactam 結構，具殺死細菌（bactericidal）效果","禁止與 β-lactamase 抑制劑（clavulanate）併用","常見的副作用為腹瀉","干擾細菌細胞壁生合成","B",null,[],"本題考點是 amoxicillin 的正確描述，要挑出「錯誤」敘述。amoxicillin 屬 β-lactam 類抗生素，臨床常與 β-lactamase 抑制劑 clavulanate 併用（即 Augmentin），以對抗會分解 β-lactam 環的酵素，故 B「禁止與 clavulanate 併用」完全講反，選 B。A 正確，它含 β-lactam 環、屬殺菌型。C 正確，腹瀉是其常見副作用（破壞腸道菌叢）。D 正確，它抑制轉肽酶干擾細菌細胞壁肽聚醣交聯而殺菌。","β-lactam 藥物靠 β-lactam 環結合並抑制 PBP（penicillin-binding protein，即轉肽酶），阻斷細胞壁肽聚醣交聯，對正在增殖的細菌具殺菌性。細菌抗藥常靠分泌 β-lactamase 水解此環，故加入 clavulanate、sulbactam、tazobactam 等自殺型抑制劑保護抗生素，即「加酶抑制劑」複方邏輯。記憶：clavulanate 是 amoxicillin 的「保鑣」而非禁忌。",[25,27,29,31],{"term":26,"count":11},"amoxicillin β-lactam",{"term":28,"count":11},"clavulanate β-lactamase 抑制劑",{"term":30,"count":11},"PBP 細胞壁合成",{"term":32,"count":11},"殺菌型抗生素",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-1-basic-medicine-060","下列何種類鴉片藥物，對 κ-受體的致效劑作用較其對 µ-及 δ-受體的作用強？",60,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-109-2-basic-medicine-076","下列關於痲瘋分枝桿菌（Mycobacterium leprae）的敘述，何者正確？",76,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-110-2-basic-medicine-010","心尖的位置約在左鎖骨中線與第幾肋間的交會處？",10,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-basic-medicine-048","有關梅毒（syphilis）的敘述，下列何者正確？",48,111,{"webId":54,"stem":55,"number":42,"year":56,"session":42},"nurse-113-2-basic-medicine-002","女性體內黃體素（progesterone）的含量在下列子宮週期中何時最高？",113,{"webId":58,"stem":59,"number":60,"year":61,"session":42},"nurse-114-2-basic-medicine-046","下列針對腦膜炎雙球菌（Neisseria meningitidis）引發腦膜炎的敘述，何者錯誤？",46,114,"2026-09-04",1788510711408]