[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-113-2-基礎醫學-034","nurse-113-2-basic-medicine-034",113,2,34,"下列何種藥物為前列腺素致效劑（agonist），可降低胃酸釋出，也能促進胃黏液的產生，以緩解胃潰瘍的病症？",{"A":15,"B":16,"C":17,"D":18},"misoprostol","mifepristone","naratriptan","famotidine","A",null,[],"本題考點在於前列腺素致效劑在消化性潰瘍的應用。依藥理學，misoprostol 是前列腺素 E1（PGE1）類似物，能抑制胃壁細胞泌酸並促進黏液與碳酸氫鹽分泌、增加黏膜血流，達到胃黏膜保護、緩解與預防潰瘍，尤其用於長期使用 NSAID 者，故選 A。B mifepristone 為抗黃體素、C naratriptan 為血清素致效劑治偏頭痛、D famotidine 為 H2 受體拮抗劑，皆非前列腺素致效劑。","misoprostol 兩大用途：胃黏膜保護（對抗 NSAID 潰瘍）與婦產科（軟化子宮頸、引產、產後出血），因促子宮收縮，孕婦禁用。對比消化性潰瘍用藥：氫離子幫浦抑制劑（PPI，如 omeprazole）、H2 拮抗劑（famotidine）、黏膜保護劑（sucralfate、misoprostol）。此題落在前列腺素類黏膜保護。",[25,27,29,31],{"term":26,"count":11},"胃黏膜保護",{"term":15,"count":28},1,{"term":30,"count":28},"前列腺素 E1 類似物",{"term":32,"count":28},"NSAID 潰瘍預防",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-2-basic-medicine-035","下列利尿劑中，何者排尿效果最顯著，除了可以改善水腫，亦可用於治療高血鈣症（hypercalcemia）？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-basic-medicine-031","下列何種藥物不能抑制乙醯膽鹼酯酶（acetylcholinesterase）？",31,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-basic-medicine-025","下列何者是最常見的惡性淋巴瘤（malignant lymphoma）？",25,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-basic-medicine-073","下列何者是引起體內各器官伺機性感染的主要細菌？",73,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-2-basic-medicine-037","關於異生（dysplasia）的敘述，下列何者正確？",37,107,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-108-2-basic-medicine-071","對反轉錄病毒的敘述，下列何者錯誤？",71,108,"2026-09-04",1788510754175]