[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-041":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":27},"nurse-113-3-基礎醫學-041","nurse-113-3-basic-medicine-041",113,3,41,"為了降低抗藥性細菌的發生率，應該採取下列那一種措施？",{"A":15,"B":16,"C":17,"D":18},"定期公告流行病的疫情、病原種類及抗生素敏感性","可以使用抗生素作為飼料，加速家畜的生長","服用低劑量抗生素，作為預防感染的手段","醫院長期使用同一種抗生素","A",null,[],"本題考點在於抗生素抗藥性的防制原則，核心是「監測與合理使用」。定期公告流行病疫情、病原種類與抗生素敏感性，能引導臨床依藥敏結果選藥、避免經驗性濫用，是降低抗藥性發生的正確策略，選 A。其餘三項皆為助長抗藥性的錯誤做法：以抗生素當飼料促家畜生長，會在動物與環境端篩選出抗藥菌並傳入人類；長期服用低劑量抗生素預防感染，次治療濃度恰好給細菌演化抗藥的選擇壓力；醫院長期單用同一種抗生素，會使該藥的抗藥菌株選擇性存活擴散。三者共通錯誤在於製造持續而不足以殺菌的藥物壓力。","抗藥性核心觀念是「選擇壓力」：抗生素殺不死的菌被留下並增殖。防制四原則——正確診斷、對症選藥、足量足療程、避免不必要使用（含畜牧與預防性濫用），加上院內抗生素管理（antibiotic stewardship）與藥敏監測，構成完整策略。",[25,28,30,32],{"term":26,"count":27},"抗生素抗藥性",1,{"term":29,"count":27},"選擇壓力",{"term":31,"count":27},"抗生素管理",{"term":33,"count":27},"藥敏監測",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-basic-medicine-042","下列那一種補體分子促進肥大細胞（mast cell）分化效果最佳？",42,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-basic-medicine-038","下列糖尿病的治療藥物中，何者單獨使用時最可能造成低血糖（hypoglycemia）的風險？",38,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-115-1-basic-medicine-032","下列抗生素之敘述，何者最不適當？",32,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-basic-medicine-050","下列有關腎上腺素（epinephrine）的敘述，何者正確？",50,106,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-1-basic-medicine-014","位於禽距裂（calcarine fissure）上、下兩側的大腦皮質與下列何種感覺最有關？",14,108,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-109-1-basic-medicine-048","庫辛氏病（Cushing’s disease）的原因為何？",48,109,"2026-09-04",1788510751838]