[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-112-2-內外科護理學-011","nurse-112-2-medical-surgical-011",112,2,11,"有關消化性潰瘍的治療藥物，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"制酸劑","前列腺素合成劑","質子幫浦抑制劑","第一型組織胺接受器拮抗劑","D",null,[],"本題考點是消化性潰瘍的治療藥物分類，錯誤敘述為 D。依治療消化性潰瘍的藥理，抑制胃酸與保護黏膜是主軸：A 制酸劑中和已分泌的胃酸，正確；B 前列腺素合成劑（如 misoprostol）可抑制胃酸分泌並促進黏膜黏液與碳酸氫鹽分泌、保護黏膜，正確；C 質子幫浦抑制劑（PPI，如 omeprazole）阻斷胃壁細胞 H⁺\u002FK⁺-ATPase，是抑酸最強的藥物，正確。D 敘述錯誤：治療潰瘍用的是「第二型」組織胺接受器拮抗劑（H₂ blocker，如 cimetidine、ranitidine），作用於胃壁細胞的 H₂ 受體以減少胃酸；而「第一型（H₁）」拮抗劑是抗組織胺抗過敏藥物，與胃酸分泌無關，故此敘述錯誤而為答案。","胃壁細胞（parietal cell）受三條路徑刺激泌酸：組織胺（經 H₂ 受體）、乙醯膽鹼（M 受體）、胃泌素（gastrin），最終共同活化 H⁺\u002FK⁺-ATPase（質子幫浦）將 H⁺ 泵入胃腔。抑酸藥物即針對此路徑：PPI 直接封鎖最末端的質子幫浦，抑酸最徹底；H₂ 阻斷劑封鎖組織胺路徑，強度次之。H₁ 與 H₂ 的區分是本題陷阱——H₁ 在支氣管、血管、皮膚，主管過敏；H₂ 在胃壁細胞，主管泌酸。misoprostol 屬前列腺素 E₁ 類似物，特別用於預防 NSAID 引起的潰瘍，但孕婦禁用（會誘發子宮收縮）。",[24,27,29,32],{"term":25,"count":26},"消化性潰瘍",5,{"term":16,"count":28},3,{"term":30,"count":31},"H2受體拮抗劑",1,{"term":15,"count":31},[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-012","有關潰瘍性結腸炎（ulcerative colitis）的敘述，下列何者正確？①易侵犯全腸壁 ②易造成肛門瘻管 ③易有裡急後重感 ④糞便中經常帶血",12,{"webId":39,"stem":40,"number":41,"year":9,"session":28},"nurse-112-3-medical-surgical-028","有關頭頸部放射治療對口腔造成的影響，下列處置何者正確？",28,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-2-medical-surgical-022","有關何杰金氏淋巴瘤的敘述，下列何者正確？",22,113,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-114-3-medical-surgical-020","病人剛開始輸血 20 mL 就發生皮膚癢、蕁麻疹、哮喘，最有可能發生下列那一種輸血反應？",20,114,{"webId":53,"stem":54,"number":55,"year":56,"session":31},"nurse-106-1-medical-surgical-074","有關原發性醛固酮過多症之臨床表徵，下列何者正確？",74,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-2-medical-surgical-028","病人主訴常有心悸的感覺，心尖脈速率 98 次\u002F分鐘，節律不規則，橈動脈脈搏次數為 80 次\u002F分鐘。下列何者為其最可能之診斷？",107,"2026-09-04",1788510747368]