[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-112-3-基礎醫學-033","nurse-112-3-basic-medicine-033",112,3,33,"下列何種藥物最適合給與初診斷為第二型糖尿病且尚無併發症之病人？",{"A":15,"B":16,"C":17,"D":18},"Alogliptin","Empagliflozin","Insulin glulisine","Metformin","D",null,[],"本題考點在於新診斷第二型糖尿病的首選用藥。依糖尿病治療指引，Metformin 為初診斷第二型糖尿病且無禁忌症者的第一線口服藥，它經抑制肝臟糖質新生、增加周邊胰島素敏感性來降血糖，且不易造成低血糖、有助體重控制，故選 D。A Alogliptin（DPP-4 抑制劑）與 B Empagliflozin（SGLT2 抑制劑）多作為次線或合併用藥。C Insulin glulisine 為速效胰島素，通常保留給血糖控制不佳或有特殊情況者，非無併發症初診斷者的首選。故第一線用藥為 Metformin。","Metformin 之所以穩坐第一線，在於療效確立、低血糖風險低、不增體重、心血管安全且價格低廉。其機轉主要是降低肝糖輸出並提升胰島素敏感性。注意事項：可能腸胃不適，及腎功能不佳或顯影劑檢查時需留意乳酸中毒風險。記法：新確診第二型糖尿病、沒禁忌，先給 Metformin；其他 DPP-4、SGLT2、胰島素多是控制不佳後的加碼或進階選擇。",[25,27,29,32],{"term":26,"count":11},"第二型糖尿病",{"term":18,"count":28},2,{"term":30,"count":31},"第一線用藥",1,{"term":33,"count":31},"糖尿病治療指引",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-3-basic-medicine-034","下列有關 Propranolol 特性和作用之敘述，何者錯誤？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-113-2-basic-medicine-030","下列何者最常引起「自發性蛛網膜下腔出血」（spontaneous subarachnoid hemorrhage）？",30,113,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-114-1-basic-medicine-024","下列何者並非鉛中毒的常見表現？",24,114,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-115-2-basic-medicine-022","第一型過敏反應是因人體的那一種抗體與抗原結合後，造成肥大細胞的去顆粒化作用，而釋出組織胺（histamine）？",22,115,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-107-1-basic-medicine-016","神經細胞受傷後，下列何種胞器常會發生「溶解」現象？",16,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-108-1-basic-medicine-050","下列何種抗癲癇藥物，其結構類似 GABA？",50,108,"2026-09-04",1788510744159]