[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-057":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":27},"nurse-107-1-基礎醫學-057","nurse-107-1-basic-medicine-057",107,1,57,"下列何者屬於 Class III 抗心律不整藥物兼具有 β-blocker 作用？",{"A":15,"B":16,"C":17,"D":18},"Metoprolol","Sotalol","Verapamil","Digoxin","B",null,[],"本題考點是兼具 Class III 與 β-blocker 作用的抗心律不整藥。Sotalol 依 Vaughan-Williams 分類屬 Class III(阻斷鉀離子通道、延長動作電位與再極化),同時具非選擇性 β 受體阻斷作用,故選 B。A Metoprolol 為純 Class II β-blocker;C Verapamil 為 Class IV 鈣通道阻斷劑;D Digoxin 是強心配醣體,非上述抗心律不整分類,均不同時具 Class III 與 β-blocker 雙重作用。","Vaughan-Williams 分類:Class I 鈉通道阻斷、Class II β-blocker、Class III 鉀通道阻斷(amiodarone、sotalol、dofetilide)、Class IV 鈣通道阻斷。Sotalol 特殊在橫跨 II 與 III;amiodarone 更誇張,四類作用兼具。Class III 延長 QT,有引發 torsades de pointes 風險需監測。記憶:『sotalol=會擋 β 的第三類』。",[25,28,29,31],{"term":26,"count":27},"Vaughan-Williams 分類",3,{"term":16,"count":11},{"term":30,"count":11},"Class III 抗心律不整",{"term":32,"count":11},"β 受體阻斷",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-058","下列關於利尿劑的敘述，何者錯誤？",58,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-107-2-basic-medicine-074","下列何種細菌感染症較少經由節肢動物（arthropod）傳播？",74,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-108-2-basic-medicine-008","下列何者分泌不足可能導致呆小症（cretinism）？",8,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-basic-medicine-046","下列關於睪丸腫瘤的敘述，何者錯誤？",46,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-010","卵巢排卵（ovulation）時，卵母細胞（oocyte）的減數分裂（meiosis），停留在那一時期？",10,111,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-112-2-basic-medicine-024","慢性肉芽腫發炎反應所導致的限制性心包炎，最常見的病原菌或病因是：",24,112,"2026-09-04",1788510701422]