[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-107-2-內外科護理學-037","nurse-107-2-medical-surgical-037",107,2,37,"下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",{"A":14,"B":15,"C":16,"D":17},"digoxin（lanoxin）","captopril（capoten）","nifedipine（adalate）","propranolol（inderal）","B",null,[],"本題考點是抗高血壓藥物的分類與機轉。血管加壓素 I 轉換為血管加壓素 II 需經血管加壓素轉換酶(ACE),captopril 屬 ACE 抑制劑,阻斷此轉換而使血管舒張降壓,故選 B。(A)digoxin 是強心配醣體,增加心肌收縮力,非降壓藥;(C)nifedipine 是鈣離子拮抗劑,擴張血管降壓但機轉不同;(D)propranolol 是β阻斷劑,降低心輸出降壓,亦非抑制 ACE。","RAAS 系統:腎素使血管加壓素原轉為血管加壓素 I,再經 ACE 轉為血管加壓素 II(強力血管收縮並促醛固酮)。ACE 抑制劑(字尾 -pril)阻此轉換,並使緩激肽堆積而產生乾咳副作用。ARB(字尾 -sartan)則阻斷血管加壓素 II 受體,無乾咳。ACE 抑制劑禁用於雙側腎動脈狹窄、懷孕、高血鉀。",[24,27,29,31],{"term":25,"count":26},"ACE抑制劑",1,{"term":28,"count":26},"captopril",{"term":30,"count":26},"血管加壓素II",{"term":32,"count":26},"抗高血壓藥",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-038","長春花鹼類（vinca alkaloids）藥物，如 vincristine，主要作用於細胞週期的那一期？",38,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-medical-surgical-054","針對左側氣胸病人之患側胸部評估，下列何者為最可能之發現？",54,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-068","下列何種內分泌機能低下會造成黏液性水腫？",68,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-medical-surgical-026","有關心肌病變（cardiomyopathy）的敘述，下列何者正確？",26,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）之臨床表徵，下列何者錯誤？",70,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-024","有關美尼爾氏症候群的症狀，下列何者錯誤？",24,112,"2026-09-04",1788510725224]