[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-051":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":11},"nurse-107-2-基礎醫學-051","nurse-107-2-basic-medicine-051",107,2,51,"下列何者擬腎上腺素（sympathomimetic）藥物不具有 β 2 受體選擇性？",{"A":15,"B":16,"C":17,"D":18},"terbutaline","fenoterol","salbutamol","dobutamine","D",null,[],"本題考點是擬交感神經藥的 β2 受體選擇性。依自主神經藥理學,terbutaline、fenoterol、salbutamol 皆為選擇性 β2 受體促效劑,用於支氣管擴張、緩解氣喘,故 A、B、C 皆具 β2 選擇性;而 dobutamine 主要作用於 β1 受體,增強心肌收縮力,用於心衰竭與心因性休克,不具 β2 選擇性,故選 D。β2 選擇性藥物作用於支氣管平滑肌使之舒張;β1 選擇性則作用於心臟,兩者標的與用途截然不同。","受體分工記憶:β1 主要在心臟（增加心率與收縮力)、β2 主要在支氣管與血管平滑肌（舒張)、以及子宮平滑肌鬆弛。β2 促效劑（-terol、-butaline 字尾多屬此類:salbutamol、terbutaline、fenoterol、formoterol、salmeterol)＝氣喘與慢性阻塞性肺病支氣管擴張劑;terbutaline 另可安胎（抑制子宮收縮)。dobutamine＝β1 為主的正性肌力藥,用於急性心衰竭。副作用連結:β2 促效劑過量可致心悸、顫抖、低血鉀。可連結:氣喘階梯治療、β 受體分布、安胎藥。",[25,27,30,32],{"term":26,"count":11},"支氣管擴張劑",{"term":28,"count":29},"β2 受體選擇性促效劑",1,{"term":31,"count":29},"dobutamine 作用於 β1",{"term":33,"count":29},"β1 與 β2 受體分布",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-052","下列何種抗癲癇藥物對突觸小泡蛋白（synaptic vesicle protein, SV2A）的親和力最高？",52,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-basic-medicine-068","下列何者最常引起新生兒的細菌性腦膜炎？",68,108,{"webId":45,"stem":46,"number":11,"year":47,"session":29},"nurse-109-1-basic-medicine-002","下列胞器中，何者負責製造 ATP？",109,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-basic-medicine-040","骨質疏鬆症（osteoporosis）與下列那一徵候較無關？",40,110,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-2-basic-medicine-004","下列那一構造，不是完全由腹膜反摺構成的？",4,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-basic-medicine-048","有關病毒造成的無症狀感染，下列敘述何者正確？",48,112,3,"2026-09-04",1788510723763]