[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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":27},"nurse-112-2-基礎醫學-038","nurse-112-2-basic-medicine-038",112,2,38,"下列何種避孕方式最適合用於年齡大於 35 歲且有抽菸習慣之女性？",{"A":15,"B":16,"C":17,"D":18},"避孕貼片（含 ethinyl estradiol & levonorgestrel）","口服避孕藥 ethinyl estradiol & levonorgestrel","陰道避孕環（含 ethinyl estradiol）","肌肉注射避孕藥 medroxyprogesterone acetate","D",null,[],"本題考點在於含雌激素避孕法在高風險族群的禁忌。依用藥安全,年齡大於 35 歲且吸菸的女性使用含雌激素(ethinyl estradiol)避孕方式,會顯著增加血栓栓塞與心血管事件風險,故應避開含雌激素製劑。D 肌肉注射 medroxyprogesterone acetate 為單一黃體素製劑、不含雌激素,是此族群相對安全的選項,選 D。A 避孕貼片、B 複方口服避孕藥、C 陰道避孕環皆含 ethinyl estradiol,對此高風險族群不適合。","記憶重點:雌激素＝促凝傾向,＞35 歲＋吸菸為含雌激素避孕的絕對禁忌(WHO MEC 第 4 級)。此族群改用單方黃體素法(口服迷你丸、注射型 DMPA、黃體素植入或含黃體素子宮內避孕器)較安全。雌激素相關血栓風險亦見於術後臥床、既往栓塞史者。可連結口服避孕藥的作用機轉(抑制排卵)與禁忌症一併複習。",[25,28,30,32,34],{"term":26,"count":27},"雌激素禁忌",1,{"term":29,"count":27},"血栓栓塞風險",{"term":31,"count":27},"medroxyprogesterone acetate",{"term":33,"count":27},"黃體素避孕",{"term":35,"count":27},"吸菸與避孕",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-112-2-basic-medicine-039","Leucovorin 常用於降低下列何種抗癌藥物之副作用？",39,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-113-1-basic-medicine-035","Fexofenadine較不具鎮靜安眠作用，原因為何？",35,113,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-113-3-basic-medicine-029","子宮肌腺症（adenomyosis）典型的表現，下列何者最恰當？",29,3,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-115-1-basic-medicine-027","下列何種病毒不會造成慢性肝炎？",27,115,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-106-2-basic-medicine-051","吸入性全身麻醉劑的 MAC（minimal alveolar concentration）數值越小，其所代表的意義為何？",51,106,{"webId":62,"stem":63,"number":64,"year":65,"session":27},"nurse-108-1-basic-medicine-005","下列何者含副鼻竇？",5,108,"2026-09-04",1788510746467]