[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-060":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-107-2-基礎醫學-060","nurse-107-2-basic-medicine-060",107,2,60,"下列醛固酮（aldosterone）的拮抗劑中，何者可作為降血壓藥物，但不抑制睪丸酮（testosterone）之合成？",{"A":15,"B":16,"C":17,"D":18},"spironolactone","eplerenone","drospirenone","fludrocortisone","B",null,[],"本題考點是醛固酮拮抗劑的選擇性與內分泌副作用。依藥理學,eplerenone 是選擇性礦物皮質素受體拮抗劑,對雄性素與黃體素受體親和力低,故不干擾睪固酮合成、性荷爾蒙副作用少,可作為降血壓與心衰竭用藥,選 B。A spironolactone 雖同為拮抗劑但缺乏選擇性,會作用於性荷爾蒙受體致男性女乳症。C drospirenone 是合成黃體素,非降血壓的醛固酮拮抗劑。D fludrocortisone 是礦物皮質素促效劑,作用相反,用於補充醛固酮不足。","對比記憶:spironolactone 與 eplerenone 皆阻斷醛固酮受體（保鉀利尿、降壓、改善心衰竭預後),差別在選擇性——spironolactone 非選擇性,兼擋雄性素與黃體素受體,故男性女乳症、月經紊亂、性慾改變等內分泌副作用較多;eplerenone 選擇性高,這類副作用顯著較少。共同風險:高血鉀（尤其併用 ACE 抑制劑或 ARB、腎功能不全者)。方向辨析:fludrocortisone 是促效劑（治愛迪生氏病等醛固酮不足),與拮抗劑作用相反。可連結:保鉀利尿劑、腎素—血管收縮素—醛固酮系統、男性女乳症。",[25,28,30,32],{"term":26,"count":27},"eplerenone 選擇性醛固酮拮抗劑",1,{"term":29,"count":27},"spironolactone 男性女乳症",{"term":31,"count":27},"礦物皮質素受體",{"term":33,"count":27},"fludrocortisone 為促效劑",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-basic-medicine-061","關於催產激素 oxytocin 的敘述，下列何者錯誤？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-108-1-basic-medicine-077","病患若呈現面部痙攣（facial spasm）、牙關緊閉（trismus or lockjaw）、心律不整、嚴重流汗、脫水等，最有可能是下列何種疾病？",77,108,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-109-1-basic-medicine-011","下列何者是由入球小動脈（afferent arteriole）的管壁平滑肌細胞特化形成，能分泌腎活素（renin）調節血壓？",11,109,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-110-1-basic-medicine-049","國產藥物與外國原廠的藥物，口服後之時間-血中濃度曲線下之面積相同時，表示此兩種藥物具有何種相同性質？",49,110,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-2-basic-medicine-013","決定血流速率大小，下列何者最不重要？",13,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-1-basic-medicine-007","下列何者最可能同時降低動脈血壓波振幅（arterial pulse wave）與動脈血壓波速度（pulse wave velocity）？",7,113,"2026-09-04",1788510723862]