[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":26},"nurse-107-2-基礎醫學-053","nurse-107-2-basic-medicine-053",107,2,53,"下列何種抗精神病藥物最容易導致心電圖 QT 波延長？",{"A":15,"B":16,"C":17,"D":18},"thioridazine","haloperidol","aripiprazole","olanzapine","A",null,[],"本題考點是抗精神病藥引起 QT 間期延長的風險比較。依藥理學,thioridazine 是低效價典型抗精神病藥,以顯著阻斷心臟鉀離子通道、延長心室再極化著稱,在此類藥中最易造成 QT 間期延長甚至致命心律不整,故選 A。B haloperidol 雖也可延長 QT,但風險低於 thioridazine。C aripiprazole 為部分促效劑,對 QT 影響相對小。D olanzapine 的 QT 延長風險亦低於 thioridazine,故非答案。","機轉:QT 延長源於阻斷心肌 hERG（IKr)鉀離子通道,延長第三相再極化,增加尖端扭轉型室性心搏過速（torsades de pointes)風險。thioridazine 是傳統藥中心臟毒性最惡名昭彰者。風險加成因子:低血鉀、低血鎂、心搏過緩、併用其他延長 QT 藥物。記憶:低效價典型抗精神病藥（thioridazine、chlorpromazine)＝抗膽鹼與心臟副作用多;高效價（haloperidol)＝錐體外症狀多但抗膽鹼少。監測要點:高風險族群給藥前後追蹤心電圖與電解質。可連結:hERG 通道、torsades de pointes、電解質。",[25,27,29,31],{"term":15,"count":26},1,{"term":28,"count":26},"QT 間期延長",{"term":30,"count":26},"hERG 鉀離子通道阻斷",{"term":32,"count":26},"尖端扭轉型室性心搏過速",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-2-basic-medicine-054","下列何者不是 aspirin 的藥理作用？",54,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-basic-medicine-070","A 型肝炎病毒經常造成地區性的流行感染，其主要傳播方式為何？",70,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-basic-medicine-004","下列何者參與形成肩部的旋轉肌袖口（rotator cuff）？",4,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-basic-medicine-042","下列有關栓塞（embolism）的敘述，何者最不適當？",42,110,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-2-basic-medicine-006","手術時不小心移除下列何者，最可能直接造成血鈣濃度下降？",6,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-basic-medicine-050","下列何種疾病最常藉由埃及斑蚊（Aedes aegypti）傳播？",50,112,3,"2026-09-04",1788510723792]