[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-106-2-基礎醫學-061","nurse-106-2-basic-medicine-061",106,2,61,"下列何者為治療甲狀腺風暴（thyroid storm）之首選藥物？",{"A":15,"B":16,"C":17,"D":18},"propranolol","levothyroxine","prostaglandin","hydrocortisone","A",null,[],"本題考點為甲狀腺風暴(thyroid storm)控制交感亢進症狀的首選藥。propranolol 為非選擇性 β 受體阻斷劑,可迅速壓制心搏過速、顫抖、焦躁等甲狀腺素過量的交感表現,並抑制周邊 T4 轉 T3,為症狀控制首選,選 A。B levothyroxine 為甲狀腺素本身,會加重病情。C prostaglandin 與甲狀腺風暴治療無關。D hydrocortisone 屬輔助用藥(抑制 T4 轉 T3、防腎上腺不足),但非控制交感症狀之首選,故答案為 A。","甲狀腺風暴的完整處置是多管齊下:抗甲狀腺藥 PTU(兼阻周邊 T4→T3)、碘劑(阻荷爾蒙釋放,須於 PTU 後給以免 Wolff-Chaikoff 逃逸)、β 阻斷劑(控症狀)、類固醇(抑轉換、補腎上腺)。propranolol 高劑量另有抑制周邊去碘化之利。此題以『控制症狀首選』為主軸選 β 阻斷劑;若題幹改問『減少荷爾蒙合成』則答案不同,故標記須留意題意方向。",[25,28,30,32],{"term":26,"count":27},"甲狀腺風暴",1,{"term":29,"count":27},"propranolol β 阻斷劑",{"term":31,"count":27},"周邊 T4 轉 T3 抑制",{"term":33,"count":27},"交感症狀控制",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-basic-medicine-062","使用三合一療法（triple therapy）治療幽門桿菌引起的胃潰瘍，不包含下列何種藥物？",62,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-basic-medicine-078","常發生於夏季的登革熱，其症狀可類似感冒，亦可嚴重至休克出血，其傳播途徑主要由下列那一種途徑？",78,107,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-108-1-basic-medicine-012","有關食道之敘述何者正確？",12,108,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-109-1-basic-medicine-050","下列藥物中，何者較適合用於患有糖尿病的高血壓患者？",50,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-110-2-basic-medicine-014","消化道的奧氏神經叢（Auerbach’s plexus），主要位於下列何處？",14,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-basic-medicine-048","有關梅毒（syphilis）的敘述，下列何者正確？",48,111,"2026-09-04",1788510696715]