[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":63},"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-111-1-基礎醫學-064","nurse-111-1-basic-medicine-064",111,1,64,"當前往瘧疾疫區旅行，得知該區疫情已經對 chloroquine 產生抗藥性時，下列何者為最佳預防用藥？",{"A":15,"B":16,"C":17,"D":18},"Artemisinin","Mefloquine","Primaquine","Pyrimethamine","B",null,[],"本題考點為 chloroquine 抗藥性瘧疾疫區的最佳預防用藥。當疫區對 chloroquine 已具抗藥性時，預防用藥須改用其他有效藥，Mefloquine 是公認可用於抗氯喹瘧疾區的預防藥物，故選 B。A 的 Artemisinin（青蒿素類）主要用於治療、且需採合併療法（ACT），不作單一預防用藥。C 的 Primaquine 主要用於清除肝內休眠子（hypnozoites）以防復發，屬根除治療，使用前須驗 G6PD。D 的 Pyrimethamine 多與 sulfadoxine 併用，非首選單一預防。故 mefloquine 為最佳預防選擇。","瘧疾用藥策略：預防（chemoprophylaxis）於抗氯喹地區可選 mefloquine、doxycycline、atovaquone-proguanil；chloroquine 只適用於仍具敏感性的地區。治療首選為 artemisinin-based combination therapy（ACT）。Primaquine（及 tafenoquine）針對間日瘧\u002F卵形瘧的肝休眠子做『根除（radical cure）』，可防復發，用前必查 G6PD 以免溶血。記憶：『抗氯喹疫區預防＝mefloquine；根除肝休眠＝primaquine（先驗 G6PD）』。",[25,27,29,30],{"term":26,"count":11},"瘧疾預防用藥",{"term":28,"count":11},"chloroquine 抗藥性",{"term":16,"count":11},{"term":31,"count":11},"Primaquine(肝休眠子根除)",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-111-1-basic-medicine-065","在淋巴結的濾泡（follicle）所聚集的細胞，會產生什麼特殊蛋白質？",65,{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-112-1-basic-medicine-031","下列何種神經肌肉阻斷劑是屬於去極化型？",31,112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-3-basic-medicine-025","最常引起心肌炎（myocarditis）的原因為何？",25,3,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-114-1-basic-medicine-023","KIT基因突變是下列那種腫瘤最常見的分子變化？",23,114,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-115-2-basic-medicine-027","關於食道靜脈曲張的敘述，下列何者錯誤？",27,115,2,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-107-1-basic-medicine-011","下列何者具有雙套（diploid）染色體？",11,107,"2026-09-04",1788510733262]