[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-038":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":27},"nurse-113-2-基礎醫學-038","nurse-113-2-basic-medicine-038",113,2,38,"長期口服 prednisone 之病人最常出現下列何種副作用？",{"A":15,"B":16,"C":17,"D":18},"高血鉀","體重降低","骨質疏鬆","低血糖","C",null,[],"本題考點在於長期口服糖皮質固醇 prednisone 的副作用。依內分泌藥理，長期使用糖皮質固醇會抑制成骨、增加蝕骨並減少腸道鈣吸收，導致骨質疏鬆，是最常見的長期副作用之一，故選 C。A 錯：固醇具礦物皮質活性促鉀排出，多致「低」血鉀而非高血鉀。B 錯：常見食慾增加與脂肪重分布，體重多上升。D 錯：固醇促糖質新生、拮抗胰島素，造成「高」血糖而非低血糖。","類固醇長期副作用整組記憶（庫欣樣）：月亮臉、中央肥胖、骨質疏鬆、高血糖、高血壓、低血鉀、易感染、消化性潰瘍、傷口癒合差、白內障青光眼、腎上腺抑制（不可驟停）。骨鬆預防常補鈣與維生素 D、必要時雙磷酸鹽。停藥須逐步減量以免腎上腺危象。",[25,28,29,31],{"term":26,"count":27},"糖皮質固醇長期副作用",1,{"term":17,"count":27},{"term":30,"count":27},"高血糖與低血鉀",{"term":32,"count":27},"腎上腺抑制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-2-basic-medicine-039","下列抗癌藥物中，何者最易產生腎毒性？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":27},"nurse-114-1-basic-medicine-035","毛地黃中毒時，因心跳過慢導致心律不整，下列何者為正確且安全的治療策略?",35,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-basic-medicine-029","庫欣症候群（Cushing syndrome）病患，左右兩側腎上腺變大，血中 ACTH 上升，下列病因何者最為可能？",29,3,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-106-1-basic-medicine-077","所謂的垂直感染，是指由母親傳給胎兒，其中最主要之一是病毒透過胎盤直接傳染胎兒。下列何種病毒可經由此途徑傳染？",77,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-2-basic-medicine-041","惡性貧血（pernicious anemia）的病因主要是缺乏下列何者：",41,107,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-108-2-basic-medicine-075","CD4 T 細胞活化後，可以依據其所分泌的細胞激素種類分成不同 T H 亞群（subset）。下列敘述何者正確？",75,108,"2026-09-04",1788510754214]