[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-048","nurse-112-2-medical-surgical-048",112,2,48,"有關類風濕性關節炎藥物治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"選擇性 COX-2 抑制劑會抑制血小板凝集，延長出血時間","aspirin 降低前列腺素合成，可減輕炎症及關節疼痛","非固醇類抗炎藥（NSAIDs）是第一線用藥","育齡婦女接受疾病調節抗風濕藥物治療時必須避孕","A",null,[],"本題考點為類風濕性關節炎（RA）藥物治療，屬找出錯誤敘述的反向題。錯誤敘述為 A：選擇性 COX-2 抑制劑的特點正是『不』顯著抑制血小板凝集（COX-1 才與血小板 thromboxane 相關），故不會像傳統 NSAIDs 般延長出血時間，此敘述錯誤，故選 A。B 正確，aspirin 抑制環氧化酶降低前列腺素合成而抗炎止痛；C 正確，NSAIDs 為緩解 RA 症狀的第一線用藥；D 正確，疾病調節抗風濕藥（DMARDs，如 methotrexate）具致畸胎性，育齡婦女須避孕。","COX-1 為結構型酵素，維持胃黏膜保護與血小板血栓素（TXA₂）生成；COX-2 為誘導型，主導發炎部位前列腺素合成。選擇性 COX-2 抑制劑（如 celecoxib）設計目的即減少對 COX-1 的抑制，故較少胃腸道出血與抗血小板效應，但相對增加心血管血栓風險。傳統 NSAIDs 與 aspirin 才會抑制血小板、延長出血時間。DMARDs 中 methotrexate 為葉酸拮抗劑、明確致畸胎，須嚴格避孕。記憶『COX-2 保胃不抗小板、但傷心血管』。",[24,27,30,32],{"term":25,"count":26},"類風濕性關節炎",10,{"term":28,"count":29},"選擇性COX-2抑制劑",1,{"term":31,"count":29},"COX-1與血小板功能",{"term":33,"count":29},"DMARDs致畸胎與避孕",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-049","有關免疫球蛋白特性之敘述，下列何者正確？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-medical-surgical-015","有關鼻竇炎病人的護理指導，下列何者錯誤？",15,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-medical-surgical-009","有關副甲狀腺功能亢進之敘述，下列何者正確？",9,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-medical-surgical-007","有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",7,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-031","心肌梗塞後病人所出現的心電圖變化，下列何者一旦出現最有可能永遠不會消失？",31,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-medical-surgical-065","有關接受前列腺切除術病人之護理措施與指導，下列何者錯誤？",65,107,"2026-09-04",1788510747697]