[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"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-113-1-基礎醫學-040","nurse-113-1-basic-medicine-040",113,1,40,"下列藥物均能治療新生兒感染，但在考量副作用的前提下，何者是最好的選擇？",{"A":15,"B":16,"C":17,"D":18},"chloramphenicol","penicillin G","sulfamethoxazole","tetracycline","B",null,[],"本題考點在於新生兒抗生素選擇的安全性考量。依藥理毒性學，penicillin G 對新生兒相對安全、副作用少，故在同樣有效下為最佳選擇，選 B。A chloramphenicol 因新生兒肝臟葡萄醣醛酸轉移酶不足，易蓄積導致灰嬰症候群；C sulfamethoxazole（磺胺類）會競爭白蛋白使膽紅素游離，引發核黃疸；D tetracycline 會沉積於發育中的牙齒與骨骼，造成黃染與生長抑制，皆對新生兒有特殊毒性，故錯。","新生兒因肝腎與代謝酵素未成熟，用藥須特別避開三大禁忌：氯黴素（灰嬰症）、磺胺（核黃疸 kernicterus）、四環黴素（牙齒骨骼著色）。青黴素類毒性低、治療指數大，是新生兒感染的安全首選。記憶：新生兒抗生素三禁＝氯黴素、磺胺、四環黴素。",[25,27,28,30,32],{"term":26,"count":11},"新生兒用藥安全",{"term":16,"count":11},{"term":29,"count":11},"灰嬰症候群",{"term":31,"count":11},"核黃疸",{"term":33,"count":11},"四環黴素牙齒染色",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-basic-medicine-041","下列何種構造通常是由多醣組成，對於幫助細菌抵抗免疫細胞的吞噬作用（phagocytosis）極為重要？",41,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-113-3-basic-medicine-037","小玉是位有心臟病病史的膀胱癌病人，正在使用化療藥物 cisplatin，因出現嘔吐副作用，此時使用下列何種止吐劑最合適？",37,3,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-114-2-basic-medicine-031","巨環類抗生素（macrolides）最不易引起下列何種副作用？",31,114,2,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-106-1-basic-medicine-029","缺氧引起之肺血管收縮是為了：",29,106,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-107-1-basic-medicine-073","鏈桿菌（Streptobacillus spp.）和螺旋菌（Spirillum spp.）的比較，下列何者敘述錯誤？",73,107,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-108-2-basic-medicine-027","何種休克會使心臟的血液輸出量增加？",27,108,"2026-09-04",1788510749706]