[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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-111-2-基礎醫學-039","nurse-111-2-basic-medicine-039",111,2,39,"一名病人因肺炎感染而住院，菌種分離偵測到 Methicillin 抗藥性的金黃色葡萄球菌，下列何者不適於治療此病人？",{"A":15,"B":16,"C":17,"D":18},"Daptomycin","Quinupristin\u002FDalfopristin","Teicoplanin","Telavancin","A",null,[],"本題考點為 MRSA 肺炎的抗生素選擇限制。題目情境為 MRSA 造成的「肺炎」，Daptomycin 雖對 MRSA 有效，但會被肺部界面活性劑（surfactant）結合而失去活性，因此不可用於肺炎治療，故選 A。(B)Quinupristin\u002FDalfopristin、(C)Teicoplanin、(D)Telavancin 皆對 MRSA 有效且可用於此情境，故非答案。","Daptomycin 為環脂肽，機轉是插入細菌細胞膜造成去極化；肺泡 surfactant 會中和其作用，是其著名的臨床禁忌部位。故 MRSA 肺炎多改用 vancomycin 或 linezolid。記憶口訣：Daptomycin 遇「肺」失效（被 surfactant 綁死），凡題目點出肺炎就要把它排除。",[25,27,29,31],{"term":26,"count":11},"MRSA",{"term":15,"count":28},1,{"term":30,"count":28},"肺部界面活性劑 surfactant",{"term":32,"count":28},"抗生素禁忌部位",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-2-basic-medicine-040","Imatinib 是慢性骨髓性白血病（chronic myeloid leukemia）的標靶療法用藥，下列何者為其作用機轉？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-2-basic-medicine-036","下列降血脂藥物中，何者可使脂肪組織血管內之脂蛋白脂解酶（lipoprotein lipase）生成量增加，而使血中三酸甘油脂濃度降低，主要用於治療高三酸甘油脂血症（hypertriglyceridemia）？",36,112,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-113-1-basic-medicine-030","侏儒症中最常見的原因是軟骨發育不全（achondroplasia），而軟骨發育不全為體染色體顯性遺傳疾病。約 90%的病人與下列那一個基因突變有關？",30,113,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-2-basic-medicine-028","子宮頸癌（cervical cancer）最常見的病理組織形態為何？",28,114,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-106-1-basic-medicine-032","食糜中的何種成分最容易刺激空腸黏膜分泌膽囊收縮素（cholecystokinin）？",32,106,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-107-1-basic-medicine-066","下列對革蘭氏陽性細菌的描述，何者錯誤？",66,107,"2026-09-04",1788510737346]