[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-108-1-基礎醫學-029","nurse-108-1-basic-medicine-029",108,1,29,"下列有關心臟的敘述，何者正確？",{"A":15,"B":16,"C":17,"D":18},"迷走神經纖維主要分布在心室且能降低心跳收縮強度","一般右心室血液輸出正常情況下，輸出血液量比左心室高","大量 K + 離子會使經由心房束傳至心室的心臟衝動被阻斷","過量的細胞外鈣離子會使心跳加快","C",null,[],"本題考點為心臟電生理與自主神經支配。依生理，血鉀過高會降低心肌細胞靜止膜電位、抑制傳導，使經房室束傳至心室的衝動被阻斷，可致傳導阻滯甚至心搏停止，故 C 正確。A 錯在迷走（副交感）神經主要分布於「心房」及竇房、房室結而非心室，且主要作用是減慢心率；B 錯在正常情況左右心室每搏輸出量相等，右心室並不較高；D 錯在細胞外鈣過量會增強心肌收縮、使心臟趨於強直收縮，並非使心跳加快，皆不符。","高血鉀心電圖進程好記：T 波高尖 → PR 延長、P 波變平 → QRS 增寬 → 正弦波 → 心室顫動／停止。左右心室輸出量必須相等，否則血液會滯留於肺或體循環。鈣對心肌是正性肌力，過高致收縮期延長（強直），與鉀的抑制作用恰成對比。",[25,27,29,31,33],{"term":26,"count":11},"高血鉀傳導阻斷",{"term":28,"count":11},"迷走神經支配",{"term":30,"count":11},"左右心室輸出量相等",{"term":32,"count":11},"細胞外鈣與心肌收縮",{"term":34,"count":11},"心臟電生理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-030","下列何者與第一心音的產生有關？",30,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-108-2-basic-medicine-046","關於肺塵埃沉著症（pneumoconiosis）的敘述，下列何者錯誤？",46,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-060","下列何種類鴉片藥物，對 κ-受體的致效劑作用較其對 µ-及 δ-受體的作用強？",60,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-basic-medicine-018","基底核（basal nuclei）功能受損或退化的症狀，下列何者最有關？",18,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-012","升糖素（glucagon）會刺激下列那一器官產生肝醣分解作用（glycogenolysis）？",12,112,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-113-2-basic-medicine-006","有關女性外生殖器（vulva）的敘述，下列何者錯誤？",6,113,"2026-09-04",1788510708346]