12.下列藥品、適應症與一般成人劑量的配對,何者錯誤?
(A)oseltamivir for influenza A & B,at 75 mg PO BID 5 days
(B)rimantadine for influenza A & B,at 100 mg PO BID 7 days
(C)ganciclovir for CMV retinitis,5 mg/kg IV Q12H 2~3 weeks,then 5 mg/kg/day
(D)acyclovir for varicella-zoster,800 mg PO QID 5 days
統計: A(80), B(931), C(122), D(284), E(0) #3380243
詳解 (共 10 筆)
2. 選項依據與分析:
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A. oseltamivir for influenza A & B, at 75 mg PO BID × 5 days
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C. ganciclovir for CMV retinitis, 5 mg/kg IV Q12H × 2–3 weeks, then 5 mg/kg/day
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D. acyclovir for varicella-zoster, 800 mg PO QID × 5 days
以上三個選項皆來自書中的 Table 79-2: Food and drug administration-indicated drugs for various viral infections。
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B. rimantadine for influenza A & B, at 100 mg PO BID × 7 days ❌
根據原文,因美國已廣泛出現抗藥性,目前不再建議使用 rimantadine。
“Amantadine and rimantadine are no longer recommended for prophylaxis of influenza because of widespread resistance in the United States.”
3. 本題考察概念:
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常見病毒感染與對應首選抗病毒藥物配對:
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Influenza A & B → oseltamivir
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Cytomegalovirus (CMV) → ganciclovir
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Varicella-Zoster Virus (VZV) → acyclovir
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Rimantadine 僅對 influenza A 有效,且現不建議使用
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