[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":67},"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-060","nurse-110-2-basic-medicine-060",110,2,60,"有關具黏膜保護作用的 Sucralfate 敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可與黏膜上帶正電的蛋白質結合","需要在高 pH 值環境下活化","不宜與 Omeprazole 併用","無法預防 Aspirin 造成之消化性潰瘍","B",null,[],"本題考點為黏膜保護劑 Sucralfate 的性質，屬選錯誤敘述題。依其藥理，Sucralfate 必須在酸性、低 pH 環境下活化，形成黏稠膠狀物覆蓋於潰瘍面，故 B 稱「需要在高 pH 值環境下活化」與事實相反，為錯誤敘述，選 B。A 活化後會與潰瘍處帶正電荷的蛋白質結合而附著，正確；C 因需酸性活化，故不宜與 Omeprazole 等強力抑酸的氫離子幫浦抑制劑併用，敘述正確；D 它對 Aspirin 引起的潰瘍預防效果有限，亦屬正確描述。","Sucralfate 為 sucrose 硫酸鹽的鋁鹽，在酸中聚合成負電黏膠，選擇性黏著於潰瘍基底暴露的正電蛋白，形成物理屏障並吸附膽鹽、刺激局部前列腺素。因活化依賴酸性，與制酸劑或 PPI 併用會削弱效果，服藥時間須錯開且宜空腹。記憶法：Sucralfate＝「要酸才黏」。可連結概念：與其他抗潰瘍藥比較，PPI\u002FH2 阻斷劑降酸、Misoprostol 補充前列腺素、Sucralfate 屬物理性黏膜保護，各走不同路。",[25,28,30,32,34],{"term":26,"count":27},"Sucralfate",1,{"term":29,"count":27},"酸性活化",{"term":31,"count":27},"黏膜屏障",{"term":33,"count":27},"與 PPI 併用禁忌",{"term":35,"count":27},"帶正電蛋白結合",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-basic-medicine-061","下列何種藥物可預防或減輕因使用 Aspirin 造成之消化性潰瘍？",61,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-111-1-basic-medicine-077","補體活化後最終形成膜攻擊複合體（membrane attack complex, MAC）。下列何者較易受到這項防禦機制的作用而死亡？",77,111,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-112-1-basic-medicine-041","有關細菌內毒素（endotoxin）的敘述，下列何者錯誤？",41,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-basic-medicine-039","下列抗癌藥物中，何者最易產生腎毒性？",39,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-basic-medicine-043","面對胞外細菌感染時，下列那種效應 CD4 + T 細胞對強化嗜中性球驅化反應貢獻較大？",43,114,3,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-007","下列何者直接由升主動脈分支出？",7,106,"2026-09-04",1788510727826]