[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-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":11},"nurse-114-2-基礎醫學-038","nurse-114-2-basic-medicine-038",114,2,38,"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？",{"A":15,"B":16,"C":17,"D":18},"Glyburide","Metformin","Pioglitazone","Acarbose","A",null,[],"本題考點在於口服降血糖藥單用時的低血糖風險比較。依作用機轉,Glyburide 屬磺醯尿素類(sulfonylurea),直接刺激胰島 β 細胞分泌胰島素,不論血糖高低皆促分泌,故單獨使用最易造成低血糖,選 A。B Metformin 為雙胍類,抑制肝糖新生、增加胰島素敏感性,不刺激分泌,單用少見低血糖;C Pioglitazone 為胰島素增敏劑,單用低血糖風險低;D Acarbose 為 α-葡萄糖苷酶抑制劑,延緩醣類吸收,單用亦少造成低血糖。故正解為 A。","分類:促胰島素分泌劑(sulfonylurea、meglitinide)因不依賴血糖高低而分泌胰島素,是低血糖高危族群,尤其老年與腎功能不良者。相對地,metformin、TZD、DPP-4 抑制劑、acarbose 屬「血糖依賴」或非促分泌機轉,單用風險低。記憶:會逼胰島素出來的最會低血糖。",[25,27,29,31],{"term":26,"count":11},"磺醯尿素類",{"term":15,"count":28},1,{"term":30,"count":28},"胰島素分泌刺激",{"term":32,"count":28},"低血糖風險",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-114-2-basic-medicine-039","下列何者不是使用 Corticosteroids 藥物治療時常見之副作用？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-basic-medicine-035","下列何者不是三環類抗憂鬱藥物之作用機制？",35,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-basic-medicine-029","缺氧引起之肺血管收縮是為了：",29,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-basic-medicine-067","抗體辨識抗原的專一性由何者決定？",67,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-2-basic-medicine-031","下列有關蛋白質消化和吸收的敘述，何者正確？",31,108,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-109-2-basic-medicine-065","當體細胞受到病毒感染後，主要啟動下列何種細胞的功能，可以有效的控制病情？",65,109,"2026-09-04",1788510758842]