[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-108-2-基礎醫學-060","nurse-108-2-basic-medicine-060",108,2,60,"下列何種降血壓藥物，禁止用於孕婦？",{"A":15,"B":16,"C":17,"D":18},"captopril","clonidine","nifedipine","hydralazine","A",null,[],"本題考點在降血壓藥於懷孕期的禁忌。依藥理學，captopril屬血管收縮素轉化酶抑制劑（ACEI），會抑制胎兒腎素-血管收縮素系統，造成胎兒腎發育不良、羊水過少、腎衰竭甚至死亡，屬懷孕禁用藥，故選A。B的clonidine（中樞α2致效劑）、C的nifedipine（鈣離子通道阻斷劑）、D的hydralazine（直接血管擴張劑），在妊娠高血壓治療中相對安全、屬可使用選項，故非禁忌。","ACEI與ARB於妊娠中後期具胎兒毒性，機轉在阻斷胎兒血管收縮素II，使腎血流與腎絲球灌流不足、尿量減少致羊水過少，並影響顱骨與肺發育。妊娠高血壓常用藥為labetalol、methyldopa、hydralazine、nifedipine。記憶口訣：懷孕『不用普利、不用沙坦』（ACEI\u002FARB全禁）。可連結：胎兒腎素-血管收縮素系統、羊水過少、ACEI\u002FARB妊娠禁忌、妊娠高血壓用藥。",[25,28,30,32],{"term":26,"count":27},"captopril為ACEI",1,{"term":29,"count":27},"ACEI妊娠禁忌",{"term":31,"count":27},"胎兒腎發育不良與羊水過少",{"term":33,"count":27},"妊娠高血壓安全用藥",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-061","下列何種藥物可使鼻黏膜上小動脈收縮，作為鼻充血腫脹解除劑，用於治療鼻炎？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-077","在後口腔內的黏膜上出現柯氏斑點（Koplik spots），是何種病毒感染的前驅症狀？",77,109,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-110-1-basic-medicine-011","下列男性生殖系統，何者具有靜纖毛（stereocilia）構造，以及儲存精子的功能？",11,110,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-111-1-basic-medicine-049","Dobutamine 可用於增加急性鬱血性心臟衰竭（congestive heart failure）病人的心輸出量（cardiac output），其作用主要是透過活化下列何種受體而產生？",49,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-basic-medicine-023","下列那一種疾病最常發生非化膿性增殖性滑液膜炎（proliferative synovitis）？",23,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-114-1-basic-medicine-017","下列何者為負責分泌胃酸的細胞？",17,114,"2026-09-04",1788510705335]