[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":64},"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-109-2-基礎醫學-061","nurse-109-2-basic-medicine-061",109,2,61,"下列何種藥物屬於腸刺激或腸興奮劑，常與含有docusate的軟便劑合用，用於治療鴉片類藥物引發之便秘？",{"A":15,"B":16,"C":17,"D":18},"Senna","Magnesium citrate","Bismuth subsalicylate","Diphenoxylate","A",null,[],"本題考點在於便秘藥物分類與鴉片類便秘的處置。考點在於刺激性瀉劑的作用:Senna屬蒽醌類刺激性瀉劑,刺激腸道肌肉神經叢增加蠕動,常與軟便劑docusate合用對抗鴉片類造成的便秘,故選A。B的Magnesium citrate屬滲透性瀉劑,靠吸水軟化糞便,機轉不同。C的Bismuth subsalicylate用於止瀉,方向與通便相反。D的Diphenoxylate是鴉片類衍生物,本身用來止瀉、減慢腸蠕動,與治便秘相反。三者皆非腸刺激劑,唯Senna符合刺激性瀉劑定位,為正解。","瀉劑分類:刺激性(senna、bisacodyl,增蠕動)、滲透性(乳果糖、鎂鹽、PEG,拉水入腸)、膨脹性(纖維素)、軟便\u002F潤滑(docusate、礦物油)。鴉片類便秘因μ受體抑制腸蠕動,故用刺激性瀉劑加軟便劑對抗,或用周邊μ拮抗劑(methylnaltrexone)。Diphenoxylate、loperamide反而是鴉片類止瀉藥。可連結鴉片類腸道副作用、瀉劑機轉分類複習。",[25,27,29,31],{"term":26,"count":11},"刺激性瀉劑",{"term":15,"count":28},1,{"term":30,"count":28},"docusate軟便劑",{"term":32,"count":28},"鴉片類便秘",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-2-basic-medicine-062","下列何者屬於腦下垂體後葉分泌的激素，可用於治療尿崩症？",62,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-basic-medicine-078","下列何種特性不是白色念珠菌（Candida albicans）之主要致病因子？",78,110,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-111-1-basic-medicine-012","下列何者位於肝臟尾葉（caudate lobe）的右側？",12,111,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-2-basic-medicine-030","下列關於帕金森氏症的敘述何者錯誤？",30,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-basic-medicine-034","下列藥物中，何者為 calcitonin gene-related peptide（CGRP）受體拮抗劑，除了可緩解急性偏頭痛（acute migraine）症狀，亦可用於預防偏頭痛？",34,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-115-1-basic-medicine-028","有關性傳播疾病（sexually transmitted infections, STIs）的敘述，下列何者錯誤？",28,115,"2026-09-04",1788510715290]