[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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-109-2-基礎醫學-058","nurse-109-2-basic-medicine-058",109,2,58,"Amiodarone為治療心室心搏過速，合併左心室功能受損之首選用藥，下列何者不是長期使用此藥後的副作用？",{"A":15,"B":16,"C":17,"D":18},"甲狀腺功能異常","皮膚色素沉積","腹瀉","角膜有黃棕色沉積物","C",null,[],"本題考點在於Amiodarone長期使用的多器官毒性,屬「找非副作用」題。考點在於其含碘與脂溶性造成的組織沉積:Amiodarone長期使用會引起甲狀腺功能異常(含碘)、皮膚藍灰色素沉積、角膜黃棕色微沉積(渦狀角膜病變),以及肺纖維化與肝毒性;而腹瀉並非其典型副作用,故選C。A的甲狀腺功能異常源自分子含碘,可致亢進或低下。B的皮膚色素沉積因藥物在皮膚堆積,日曬部位呈藍灰色。D的角膜沉積是脂溶性藥物在角膜上皮沉積所致,多不影響視力。三者皆為公認長期毒性,唯腹瀉不屬其副作用譜,為正解。","Amiodarone毒性口訣「肺、肝、甲狀腺、皮、眼」:肺纖維化(最嚴重需監測)、肝酵素上升、甲狀腺亢進\u002F低下、藍灰皮膚、角膜微沉積。其半衰期極長(數十天),脂溶性高、廣泛組織分布,故毒性隨累積劑量而現。腸胃道方面較常見便秘而非腹瀉。使用前後須查甲狀腺、肝功能、胸部X光、眼科。可連結第III類抗心律不整藥、藥物累積與監測項目複習。",[25,28,30,32,34],{"term":26,"count":27},"Amiodarone長期毒性",1,{"term":29,"count":27},"含碘甲狀腺異常",{"term":31,"count":27},"肺纖維化",{"term":33,"count":27},"角膜沉積",{"term":16,"count":27},[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-basic-medicine-059","下列降血壓藥，何者常見的副作用為咳嗽？",59,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-110-1-basic-medicine-075","關於組織相容性複合體（MHC）的敘述，下列何者正確？",75,110,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-111-1-basic-medicine-009","下列器官的主要養分來源，何者不是來自髂內動脈？",9,111,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-027","李先生因持續便血而至醫院看診，醫師為他做了大腸鏡切片發現是乙狀結腸癌（Sigmoid Colon Cancer），且肝臟有一可疑病灶。手術切除大腸與部分肝臟之後的病理診斷為分化差的腺癌（poorly-differentiated adenocarcinoma），分期為 T3N1M0。從這個診斷中可以得知下列那項資訊？",27,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-031","下列降血壓藥物中，何者能活化交感神經突觸前的 α 2 -adrenergic receptor？",31,113,3,{"webId":62,"stem":63,"number":64,"year":65,"session":27},"nurse-115-1-basic-medicine-025","急性心肌梗塞最常見且重要的病因為何？",25,115,"2026-09-04",1788510715263]