[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-110-2-基礎醫學-057","nurse-110-2-basic-medicine-057",110,2,57,"下列何者藥物具有強力止吐作用？",{"A":15,"B":16,"C":17,"D":18},"Sibutramine","Tegaserod","Buspirone","Ondansetron","D",null,[],"本題考點為具強力止吐作用的藥物分類。考點在於辨識 Ondansetron 屬 5-HT3（血清素）受體拮抗劑，能阻斷腸道與延腦嘔吐中樞的 5-HT3 訊息，是化療及術後噁心嘔吐的第一線強效止吐藥，故選 D。A Sibutramine 為抑制食慾的減重藥；B Tegaserod 為 5-HT4 致效劑，用於便秘型腸躁症以促進腸蠕動；C Buspirone 為 5-HT1A 部分致效的抗焦慮藥，三者皆無強力止吐用途，方向與止吐無關。","嘔吐反射由化學受體觸發區（CTZ）、前庭、腸道迷走傳入與大腦皮質共同驅動，故止吐藥依機轉分工：5-HT3 拮抗劑（-setron 類）針對化療與術後最強；D2 拮抗劑（metoclopramide、prochlorperazine）作用於 CTZ；NK1 拮抗劑（aprepitant）處理延遲性嘔吐；抗組織胺與抗膽鹼藥用於動暈與前庭性。記憶法：字尾「-setron」＝5-HT3 止吐。可連結概念：CINV 預防常合併 5-HT3 拮抗劑、類固醇與 NK1 拮抗劑三聯療法。",[25,28,29,31,34],{"term":26,"count":27},"5-HT3 受體拮抗劑",3,{"term":18,"count":11},{"term":30,"count":11},"化學受體觸發區",{"term":32,"count":33},"化療嘔吐",1,{"term":35,"count":33},"止吐藥分類",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-basic-medicine-058","Propranolol 治療甲狀腺亢奮引起之震顫及心悸，但病人有下列何種疾病時，不宜使用？",58,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-111-1-basic-medicine-074","下列關於痘病毒（poxvirus）的敘述，何者錯誤？",74,111,{"webId":47,"stem":48,"number":49,"year":50,"session":33},"nurse-112-1-basic-medicine-038","下列何種藥物可降低腸道中水分的分泌，用於治療旅行時之腹瀉？",38,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-basic-medicine-036","Clopidogrel 抑制血小板凝集的作用機制為何？",36,113,{"webId":57,"stem":58,"number":59,"year":60,"session":27},"nurse-114-3-basic-medicine-040","下列何者為人源性單株抗體（ humanized monoclonal antibody），用於免疫抑制誘導治療（induction immunosuppressant therapy）？",40,114,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-106-2-basic-medicine-004","下列頭顱骨骼，何者負責與頸椎形成關節？",4,106,"2026-09-04",1788510727802]