[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-107-2-基礎醫學-055","nurse-107-2-basic-medicine-055",107,2,55,"血管緊縮素轉換抑制劑（ACE inhibitor），除可降血壓外亦可用於鬱血性心臟衰竭（CHF），下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"會減少緩激肽（bradykinin）的代謝","抑制 aldosterone 分泌而增加血中 K + 濃度","降低全身血管及肺臟血管阻力","losartan 屬於此類的代表藥物","D",null,[],"本題考點是 ACE 抑制劑的藥理與藥物分類。依心血管藥理學,ACE 抑制劑抑制血管收縮素轉換酶,使緩激肽代謝減少而堆積（A 正確,也是引發乾咳的原因)、降低 aldosterone 分泌而保鉀升高血鉀（B 正確)、並降低全身與肺血管阻力（C 正確)。而 losartan 屬於「血管收縮素受體阻斷劑（ARB)」而非 ACE 抑制劑,兩類機轉不同,故 D 敘述錯誤,為答案。ACE 抑制劑的代表藥為 captopril、enalapril 等 -pril 字尾藥物。","機轉:ACE 抑制劑阻斷 angiotensin I→II 的轉換,同時 ACE 就是分解緩激肽的酶,故抑制後緩激肽堆積→血管舒張,但也造成乾咳與血管性水腫。血管收縮素 II↓→血管舒張、aldosterone↓（保鉀、排鈉),故有高血鉀風險,與保鉀利尿劑併用須留意。字尾記憶:ACE 抑制劑＝「-pril」（captopril、enalapril、lisinopril);ARB＝「-sartan」（losartan、valsartan),後者直接擋受體、不影響緩激肽故乾咳少。臨床連結:兩類皆有腎臟保護（尤其糖尿病腎病變)、孕婦禁用。可連結:腎素—血管收縮素—醛固酮系統、乾咳與血管性水腫。",[25,28,31,33],{"term":26,"count":27},"ACE 抑制劑",5,{"term":29,"count":30},"losartan 屬 ARB",1,{"term":32,"count":30},"緩激肽堆積與乾咳",{"term":34,"count":30},"抑制 aldosterone 升血鉀",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-basic-medicine-056","Flecainide 可用於治療具威脅生命之心室心律不整，但也容易引發致命的心律不整，主要原因為何？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-108-1-basic-medicine-072","下列何者是正確的病毒複製步驟？①去殼（uncoating） ②認識目標細胞 ③巨分子合成 ④附著（attachment）穿入（penetration） ⑤病毒組合 ⑥病毒釋出",72,108,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-109-1-basic-medicine-006","下列何者是由數層濾泡細胞及有液體之濾泡腔組成，其內並包含一個初級卵母細胞？",6,109,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-110-1-basic-medicine-044","下列何者不是威爾森氏病（Wilson disease）的特徵？",44,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-111-2-basic-medicine-008","鼠蹊部疝氣（inguinal hernia）嚴重時，擠入鼠蹊管（inguinal canal）的腸子，最容易直接壓迫到下列何者，造成睪丸的血液循環受阻？",8,111,{"webId":61,"stem":62,"number":11,"year":63,"session":30},"nurse-113-1-basic-medicine-002","單一肌節（sarcomere）的範圍，下列定義何者最正確？",113,"2026-09-04",1788510723806]