[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-111-1-內外科護理學-020","nurse-111-1-medical-surgical-020",111,1,20,"有關痛風藥物 Probenecis（Benemid）的主要作用，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"抑制尿酸形成","增加尿酸排出","降低普林排出","抑制炎症反應","B",null,[],"本題考點是痛風用藥 Probenecid 的藥理作用機轉。依其藥理分類,Probenecid 屬『促尿酸排泄劑(uricosuric agent)』,作用於腎近曲小管抑制尿酸的再吸收,使尿酸經尿液排出增加,進而降低血中尿酸,故選 B『增加尿酸排出』。A 錯,抑制尿酸『形成』的是 xanthine oxidase 抑制劑如 allopurinol,機轉不同。C 錯,它增加的是尿酸排出,並非降低普林排出。D 錯,抑制發炎反應以緩解急性痛風的是 colchicine 或 NSAIDs、類固醇,非 Probenecid 的主作用。","痛風降尿酸藥兩大機轉要分清:①減少生成—allopurinol、febuxostat(抑制黃嘌呤氧化酶);②增加排泄—probenecid、sulfinpyrazone(抑制近曲小管再吸收)。用 probenecid 須大量飲水並鹼化尿液,以防尿酸在腎小管析出形成尿路結石;且它用於慢性期而非急性發作期(急性期以 colchicine\u002FNSAIDs\u002F類固醇止炎)。記憶:pro-BEN-ecid=『排(ex-crete)』尿酸。",[24,26,28,30],{"term":25,"count":10},"Probenecid",{"term":27,"count":10},"促尿酸排泄劑",{"term":29,"count":10},"抑制近曲小管再吸收",{"term":31,"count":10},"與 allopurinol 機轉區別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-021","有關骨折的癒合過程，下列順序何者正確？①血腫形成期 ②骨化期 ③細胞增生期 ④重塑期 ⑤骨痂形成期",21,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-037","有關癌症病人口腔黏膜障礙照護的敘述，下列何者正確？ ①使用含類固醇的口內膏，可緩解疼痛和發炎 ②Nystatin 可預防白色念珠菌感染，漱口後要吐掉不可吞服 ③病人對苦味的敏感度減少，故可以吃苦瓜和芥菜，補充纖維素 ④使用口香糖可維持口腔濕潤",37,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-051","協助醫師拔除胸管時，應指導病人採取下列何種呼吸方式？",51,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-039","有關透析治療比較之敘述，下列何者正確？",39,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-043","陳太太，58 歲，近期被診斷罹患阿茲海默症，目前出現情緒不穩、易怒，上街買東西會忘了付錢，常常忘記梳洗就直接上床睡覺，也經常懷疑兒子在家偷錢，根據狀況，目前其處在阿茲海默症那一期？",43,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-037","乳房腫瘤 3 cm，侵犯至同側腋下淋巴結，但無遠處轉移，依據 TNM 分期，下列何者正確？",106,"2026-09-04",1788510734395]