[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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,"freq":23},"nurse-113-3-基礎醫學-037","nurse-113-3-basic-medicine-037",113,3,37,"小玉是位有心臟病病史的膀胱癌病人，正在使用化療藥物 cisplatin，因出現嘔吐副作用，此時使用下列何種止吐劑最合適？",{"A":15,"B":16,"C":17,"D":18},"scopolamine","palonosetron","prochlorperaine","meclizine","B",null,[],"本題考點在於高致吐性化療（cisplatin）的止吐首選藥理分類，並兼顧心臟病史的用藥安全。cisplatin 屬高致吐風險藥物，主要經腸道嗜鉻細胞釋放血清素、活化 5-HT3 受體引發嘔吐，故首選 5-HT3 受體拮抗劑；palonosetron 為第二代 5-HT3 拮抗劑，半衰期長、對延遲性嘔吐效果佳，是化療止吐標準用藥，選 B。scopolamine 為抗膽鹼藥、meclizine 為第一代抗組織胺，兩者主要用於動暈症與前庭性噁心，對化療致吐機轉無效；prochlorperazine 為多巴胺 D2 受體拮抗劑，雖可止吐，但易致錐體外症狀且有 QT 延長風險，對心臟病病人相對不利，故非最合適選項。",1,[25,29,33,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":32,"year":28,"session":23},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":34,"stem":35,"number":11,"year":28,"session":23},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",{"webId":37,"stem":38,"number":39,"year":28,"session":23},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":28,"session":23},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":28,"session":23},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840771655]