[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"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-110-1-基礎醫學-062","nurse-110-1-basic-medicine-062",110,1,62,"下列何種藥物可用於治療肢端肥大症（acromegaly）？",{"A":15,"B":16,"C":17,"D":18},"Octreotide","Somatropin","Methimazole","Leuprolide","A",null,[],"本題考點是肢端肥大症的藥物治療。依內分泌藥理,肢端肥大症源自生長激素過度分泌,Octreotide 是體制素類似物,能抑制腦下垂體釋放 GH,故用於治療肢端肥大症,選 A。考點在於分辨各藥的內分泌作用方向:B Somatropin 本身就是合成生長激素,只會加重病情,與治療相反;C Methimazole 抑制甲狀腺素合成,用於甲狀腺亢進;D Leuprolide 是 GnRH 類似物,用於攝護腺癌、子宮內膜異位等性荷爾蒙相關疾病,三者皆非針對 GH 過量,唯 Octreotide 對症。","肢端肥大症的藥物治療有三線:體制素類似物(octreotide、lanreotide)抑制 GH 分泌;GH 受體拮抗劑(pegvisomant)阻斷 GH 作用;多巴胺促效劑(cabergoline)對部分病人有效。核心邏輯是「GH 太多就想辦法壓 GH 或擋其受體」。記憶法:somatostatin 是天然的生長激素煞車,octreotide 就是這把煞車的藥用版本。",[25,28,31,34,35],{"term":26,"count":27},"生長激素",7,{"term":29,"count":30},"肢端肥大症",3,{"term":32,"count":33},"腦下垂體",2,{"term":15,"count":11},{"term":36,"count":11},"體制素類似物",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-1-basic-medicine-063","下列何者的藥理作用機轉是抑制細胞內微小管（microtubule）的聚合，並具有較低的骨髓抑制作用？",63,{"webId":43,"stem":44,"number":45,"year":10,"session":33},"nurse-110-2-basic-medicine-079","有關庫賈氏病（Creutzfeldt-Jakob disease, CJD）的敘述，下列何者錯誤？",79,{"webId":47,"stem":48,"number":49,"year":50,"session":33},"nurse-111-2-basic-medicine-013","決定血流速率大小，下列何者最不重要？",13,111,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-1-basic-medicine-011","下列那一種細胞分泌激素的主要功能，與副甲狀腺素（parathyroid hormone）的作用相反？",11,113,{"webId":57,"stem":58,"number":59,"year":60,"session":33},"nurse-114-2-basic-medicine-015","下列那個腦區是主要調控褪黑素（melatonin）的分泌？",15,114,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-106-1-basic-medicine-009","下列何者位於環狀軟骨上方，能調節聲帶之緊張度？",9,106,"2026-09-04",1788510719680]