[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-110-2-基礎醫學-064","nurse-110-2-basic-medicine-064",110,2,64,"抗癌藥物中，下列何者有明顯的周邊神經毒性與肝毒性？",{"A":15,"B":16,"C":17,"D":18},"Busulfan","Cisplatin","Doxorubicin","Oxaliplatin","D",null,[],"本題考點為抗癌藥物的特徵性毒性配對。考點在於辨識 Oxaliplatin 以周邊神經毒性著稱（含遇冷加劇的感覺異常）並具肝毒性，故選 D。A Busulfan 的代表毒性是肺纖維化與骨髓抑制；B Cisplatin 主要為腎毒性、耳毒性與嚴重嘔吐；C Doxorubicin 的標誌性毒性是劑量累積型心臟毒性。相較之下，同屬鉑類的 Oxaliplatin 神經毒性最為突出且伴肝毒性，最符合題意，其餘選項的主要毒性方向皆不同。","抗癌藥的「招牌毒性」是高頻考點，宜建表記憶：Bleomycin 與 Busulfan→肺；Doxorubicin（anthracycline）→心；Cisplatin→腎與耳；Vincristine→周邊神經；Cyclophosphamide→出血性膀胱炎；Oxaliplatin→周邊神經（冷誘發）。Oxaliplatin 的急性神經毒與冷刺激誘發的咽喉、肢端感覺異常具特徵性，慢性者為劑量累積型。記憶法：同為鉑類，Cisplatin 傷腎、Oxaliplatin 傷神經。可連結概念：鉑類的 DNA 交聯機轉、劑量限制性毒性與神經保護策略。",[25,27,29,31,33],{"term":26,"count":11},"劑量限制性毒性",{"term":18,"count":28},1,{"term":30,"count":28},"周邊神經毒性",{"term":32,"count":28},"鉑類抗癌藥",{"term":34,"count":28},"招牌毒性對照",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-065","有關真菌的敘述，下列何者錯誤？",65,{"webId":41,"stem":42,"number":28,"year":43,"session":11},"nurse-111-2-basic-medicine-001","下列何種胃腺細胞，其分泌物質與大腸杯狀細胞所分泌的相似？",111,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-112-1-basic-medicine-045","法蘭西氏土倫桿菌（Francisella tularensis）主要感染何種人體細胞？",45,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-043","下列何種細胞具有抑制 CD4 與 CD8 T 細胞活性的功能？",43,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-basic-medicine-047","主要經由人類身上的體蝨叮咬而傳播的細菌為何？",47,114,3,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-106-2-basic-medicine-011","下列何者的內襯上皮不是單層柱狀？",11,106,"2026-09-04",1788510727868]