[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-038":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":27},"nurse-113-1-基礎醫學-038","nurse-113-1-basic-medicine-038",113,1,38,"治療糖尿病的用藥canagliflozin，其主要作用機制為何？",{"A":15,"B":16,"C":17,"D":18},"刺激insulin的釋放","減少肝臟生成葡萄糖","減少腸胃道對葡萄糖的吸收","增加葡萄糖從尿液排除","D",null,[],"本題考點在於降血糖藥 canagliflozin 的作用機制。依藥理分類，canagliflozin 屬 SGLT2 抑制劑，阻斷腎近曲小管的鈉-葡萄糖共同運輸蛋白 2，減少葡萄糖再吸收，使多餘葡萄糖隨尿排出而降血糖，故選 D。A 刺激胰島素釋放為 sulfonylurea；B 減少肝糖生成為 metformin；C 減少腸道葡萄糖吸收為 α-glucosidase 抑制劑（acarbose），皆屬其他機轉，故錯。","SGLT2 抑制劑（-gliflozin 字尾）不依賴胰島素，經尿糖排出降糖，額外好處為減重、降血壓、心腎保護（近年成心衰與慢性腎病用藥）。副作用是泌尿生殖道黴菌感染與滲透性利尿脫水，少數正常血糖酮酸中毒。記憶：字尾 -gliflozin＝尿糖排出＝SGLT2。",[25,28,30,32],{"term":26,"count":27},"SGLT2 抑制劑",2,{"term":29,"count":11},"canagliflozin",{"term":31,"count":11},"腎小管葡萄糖再吸收",{"term":33,"count":11},"尿糖排出",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-basic-medicine-039","下列抗結核桿菌的藥物中，何者會降低以protease inhibitors治療愛滋病（AIDS）的效果？",39,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-113-3-basic-medicine-035","下列藥物中，何者可減少 angiotensin II 生成，並且使體內 bradykinin 含量增加，因此產生血管舒張作用而降低血壓？",35,3,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-114-2-basic-medicine-029","小腦天幕疝脫（transtentorial herniation），顳葉內側緣被擠壓時，下列何種變化最少見？",29,114,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-basic-medicine-027","下列有關血壓的敘述，何者錯誤？",27,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-071","抗 methicillin 金黃色葡萄球菌（MRSA）之抗藥性機制為何？",71,107,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-108-2-basic-medicine-025","進入青春期，由下列何種激素刺激卵巢濾泡發育，使初級卵母細胞完成第一次減數分裂？",25,108,"2026-09-04",1788510749694]