[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-064","nurse-109-2-basic-medicine-064",109,2,64,"口服四環素類（tetracyclines）治療感染時，最不適宜採用下列何種方式？",{"A":15,"B":16,"C":17,"D":18},"以開水服用","以茶水服用","以牛奶服用","以果汁服用","C",null,[],"本題考點在於四環素類抗生素的螯合交互作用與服藥指導。考點在於多價陽離子對吸收的干擾:四環素會與二價、三價金屬陽離子(鈣、鎂、鐵、鋁)螯合形成不溶性複合物,牛奶富含鈣離子,同服會大幅降低吸收與療效,故最不適宜以牛奶服用,選C。A的開水不含干擾離子,最為適當。B的茶水雖含少量成分,干擾遠不及鈣質牛奶顯著。D的果汁雖偏酸,對四環素吸收影響有限、非主要禁忌。三者影響皆小,唯牛奶因高鈣螯合最不適宜,為正解。","四環素螯合機轉:tetracycline的官能基與Ca2+、Mg2+、Al3+、Fe2+形成chelate,降低生體可用率;故避免與牛奶、乳製品、制酸劑、鐵劑、鈣片同時服用,建議間隔數小時。同理其沉積於發育中骨骼與牙齒,孕婦與八歲以下幼兒禁用(牙齒染色)。記憶「四環素怕金屬與牛奶」。可連結藥物-食物交互作用、四環素禁忌族群複習。",[25,27,30,32],{"term":26,"count":11},"金屬陽離子螯合",{"term":28,"count":29},"四環素類",1,{"term":31,"count":29},"牛奶鈣質",{"term":33,"count":29},"藥物吸收干擾",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-basic-medicine-065","當體細胞受到病毒感染後，主要啟動下列何種細胞的功能，可以有效的控制病情？",65,{"webId":40,"stem":41,"number":29,"year":42,"session":11},"nurse-110-2-basic-medicine-001","細胞膜的成分，下列何者錯誤？",110,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-111-1-basic-medicine-015","中腦內不具有下列何者？",15,111,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-2-basic-medicine-033","使用局部麻醉劑時，併用 epinephrine 的主要目的為何？",33,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-basic-medicine-037","小玉是位有心臟病病史的膀胱癌病人，正在使用化療藥物 cisplatin，因出現嘔吐副作用，此時使用下列何種止吐劑最合適？",37,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-115-1-basic-medicine-031","下列何者可治療腹瀉及具有腸道抗菌效果，並可預防旅行腹瀉（traveler’s diarrhea）？",31,115,"2026-09-04",1788510715300]