[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-039","nurse-111-1-medical-surgical-039",111,1,39,"有關化學治療藥物作用機轉與副作用之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Cisplatin 屬烴基化合物，常見副作用是噁心嘔吐、耳毒性和周邊神經病變等","Fluorouracil（5-FU）屬抗代謝藥物，常見副作用是口腔炎、骨髓抑制等","Doxorubicin 屬類固醇藥物，可促進 G 0 期癌細胞進入分裂期","Vincristine 屬植物鹼類藥物，作用於 M 期，干擾有絲分裂","C",null,[],"本題考點為化療藥物的分類與作用機轉錯誤辨識。選項C稱 Doxorubicin 屬「類固醇藥物且促進 G0 期癌細胞進入分裂期」，實際上 Doxorubicin 為 anthracycline 類抗腫瘤抗生素，藉嵌入 DNA 與抑制 topoisomerase II 作用，並非類固醇，且其主要毒性是心臟毒性，敘述錯誤，故選 C。A的 Cisplatin 為烷化類似藥、具耳毒性與周邊神經毒性、B的 5-FU 為抗代謝藥致口腔炎與骨髓抑制、D的 Vincristine 為植物鹼作用於 M 期干擾有絲分裂，皆正確。","細胞週期特異性可作分類主軸：抗代謝藥（5-FU、MTX）作用於 S 期；植物鹼（Vincristine、Vinblastine）阻斷微管於 M 期；烷化劑與抗腫瘤抗生素多為週期非特異性。各藥標誌性毒性要背：Cisplatin＝腎與耳與神經毒性、Doxorubicin＝心臟毒性（累積劑量）、Bleomycin＝肺纖維化、Vincristine＝周邊神經病變。C 把 anthracycline 誤標為類固醇是明顯破綻。",[24,26,28,30],{"term":25,"count":10},"化療藥物分類",{"term":27,"count":10},"Doxorubicin anthracycline",{"term":29,"count":10},"細胞週期特異性",{"term":31,"count":10},"藥物毒性",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-040","有關放射線治療病人照射處皮膚照護之敘述，下列何者錯誤？",40,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-056","評估慢性阻塞性肺病（COPD）病人的呼吸道阻塞嚴重度，下列何者為最重要的評估指標？",56,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-070","陳小姐因甲狀腺機能亢進，接受抗甲狀腺藥物硫醯胺類（thioamides）與碘製劑（iodine）治療，有關其藥物治療之敘述，下列何者正確？",70,112,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-113-2-medical-surgical-008","有關全腸道外營養療法（TPN）常見的併發症，下列何者錯誤？",8,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-012","有關骨外固定器處置，下列敘述何者最不適當？",12,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":10},"nurse-106-1-medical-surgical-056","有關病人動脈血液氣體分析結果：pH 7.30、PaCO 2 40 mmHg、HCO 3 － 18 mEq\u002FL、PaO 2 70 mmHg、 O 2 Saturation 93%之判讀，下列何者正確？",106,"2026-09-04",1788510734570]