[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-114-3-基礎醫學-039","nurse-114-3-basic-medicine-039",114,3,39,"下列何者為尿崩症（diabetes insipidus）之治療藥物？",{"A":15,"B":16,"C":17,"D":18},"vasopressin","somatotropin","urofollitropin","triiodothyronine","A",null,[],"本題考點在於尿崩症的病生理與對症用藥。依尿崩症的定義，其為抗利尿激素(ADH，即vasopressin)分泌不足或腎臟反應不良，導致大量稀釋尿與多尿，治療的核心是補充ADH，(A)vasopressin(常用其類似物desmopressin)正可回補此激素、增加集尿管水分再吸收，故選A。(B)somatotropin為生長激素，用於生長遲緩；(C)urofollitropin為濾泡刺激素(FSH)製劑，用於不孕治療；(D)triiodothyronine為甲狀腺素T3，用於甲狀腺低下，三者與水分調節無關。","尿崩症分中樞型(ADH不足)與腎因型(腎小管對ADH無反應)。中樞型對desmopressin反應良好；腎因型則需限鈉、併用thiazide利尿劑造成輕度容積缺乏以促近端再吸收。記憶對比：糖尿病(diabetes mellitus)是糖從尿走、尿崩症(diabetes insipidus)是水從尿走，兩者都多尿口渴，但尿崩症尿比重極低、血鈉偏高。ADH作用於V2受體使集尿管插入水通道aquaporin-2。",[25,28,29,31],{"term":26,"count":27},"抗利尿激素",4,{"term":15,"count":11},{"term":30,"count":11},"尿崩症",{"term":32,"count":33},"集尿管水分再吸收",1,[35,39,45,50,55,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-3-basic-medicine-040","下列何者為人源性單株抗體（ humanized monoclonal antibody），用於免疫抑制誘導治療（induction immunosuppressant therapy）？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-basic-medicine-036","下列何種藥物可作為高血壓第一線單一藥物初始治療之選擇？",36,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":33},"nurse-106-1-basic-medicine-080","下列有關廣東住血線蟲（Angiostrongylus cantonensis）之敘述，何者正確？",80,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-basic-medicine-038","急性酒精中毒最主要影響人體的何部位？",38,107,{"webId":56,"stem":57,"number":44,"year":58,"session":33},"nurse-109-1-basic-medicine-002","下列胞器中，何者負責製造 ATP？",109,{"webId":60,"stem":61,"number":42,"year":62,"session":33},"nurse-110-1-basic-medicine-036","下列何者不屬於 B 細胞（B lymphocyte）腫瘤？",110,"2026-09-04",1788510761280]