[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-040":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-112-2-基礎醫學-040","nurse-112-2-basic-medicine-040",112,2,40,"下列何種青黴素衍生物，可用於治療綠膿桿菌（Pseudomonas aeruginosa）之感染？",{"A":15,"B":16,"C":17,"D":18},"amoxicillin","oxacillin","ampicillin","piperacillin","D",null,[],"本題考點在於青黴素衍生物的抗菌譜——抗綠膿桿菌能力。依藥理分類,piperacillin 屬廣效的抗綠膿桿菌青黴素(antipseudomonal penicillin),對綠膿桿菌(Pseudomonas aeruginosa)有效,臨床常與 β-內醯胺酶抑制劑 tazobactam 合併使用,故選 D。A amoxicillin、C ampicillin 為胺基青黴素,抗菌譜不涵蓋綠膿桿菌;B oxacillin 為抗葡萄球菌的耐酶青黴素,對付產酶金黃色葡萄球菌,均對綠膿桿菌無效。","青黴素抗菌譜記憶階梯:天然(penicillin G,窄譜)→耐酶(oxacillin、nafcillin,對抗葡萄球菌)→胺基(ampicillin、amoxicillin,擴及部分革蘭氏陰性)→抗綠膿(piperacillin、ticarcillin,涵蓋綠膿桿菌)。綠膿桿菌為難纏的院內伺機性菌,治療常需抗綠膿 β-內醯胺類。可連結 β-內醯胺酶抑制劑複方與細胞壁合成抑制機轉一併複習。",[25,27,29,31],{"term":26,"count":11},"綠膿桿菌",{"term":18,"count":28},1,{"term":30,"count":28},"抗綠膿桿菌青黴素",{"term":32,"count":28},"青黴素抗菌譜",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-2-basic-medicine-041","下列敘述何者錯誤？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-basic-medicine-037","Milrinone具有強心及擴張血管之功能，長期使用會引發心律不整，此藥物的藥理作用機制為何？",37,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-basic-medicine-031","下列降血壓藥物中，何者能活化交感神經突觸前的 α 2 -adrenergic receptor？",31,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-basic-medicine-029","第一型糖尿病最常見下列何種變化？",29,115,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-2-basic-medicine-053","Carbidopa 與 levodopa 併用於巴金森氏症患者之治療，主要是因為 carbidopa 抑制下列何種酶所致？",53,106,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-basic-medicine-007","有關胸膜與腹膜的敘述，下列何者錯誤？",7,108,"2026-09-04",1788510746484]