[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-049":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-109-1-基礎醫學-049","nurse-109-1-basic-medicine-049",109,1,49,"有關抗高血壓藥物的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"Prazosin 可用於嗜鉻性細胞瘤引起的高血壓","氣喘病人可以使用 propranolol 來治療高血壓","長期服用 minoxidil 的副作用為多毛症","注射 diazoxide 可以用來治療高血壓危象","B",null,[],"本題考點是抗高血壓藥物的適應與禁忌，須選「錯誤」敘述。Propranolol 為非選擇性 β 受體阻斷劑，會阻斷支氣管 β2 受體引發支氣管收縮，氣喘病人使用可能誘發嚴重支氣管痙攣屬禁忌，故「氣喘病人可用 propranolol」錯誤，選 B。(A) 正確，Prazosin 為 α1 阻斷劑，可對抗嗜鉻細胞瘤兒茶酚胺造成的高血壓。(C) 正確，Minoxidil 為血管擴張劑，長期使用副作用為多毛症。(D) 正確，Diazoxide 靜脈注射可用於高血壓危象。故錯誤敘述為 B。","β 阻斷劑選擇性：非選擇性（propranolol）同時阻 β1、β2，氣喘\u002FCOPD 禁用（β2 阻斷致支氣管收縮）；心臟選擇性（β1，如 atenolol、metoprolol）相對安全但高劑量仍失選擇性。嗜鉻細胞瘤降壓須「先 α 後 β」（先 phenoxybenzamine\u002Fprazosin 阻 α，避免未拮抗 α 造成高血壓危象）。Minoxidil 開 K⁺ 通道擴張小動脈，多毛副作用反被用於生髮。Diazoxide 亦開 K⁺ 通道、快速降壓並抑胰島素（可致高血糖）。記憶：氣喘＋非選擇性 β 阻斷＝危險組合。",[25,27,29,31,33],{"term":26,"count":11},"β受體阻斷劑",{"term":28,"count":11},"propranolol氣喘禁忌",{"term":30,"count":11},"支氣管收縮",{"term":32,"count":11},"prazosin嗜鉻細胞瘤",{"term":34,"count":11},"minoxidil多毛症",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-basic-medicine-050","下列藥物中，何者較適合用於患有糖尿病的高血壓患者？",50,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-109-2-basic-medicine-066","下列何者是神經毒素？",66,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-080","下列何種藥物治療蟠尾絲蟲（Onchocerca volvulus）引起的河川盲（river blindness）為首選藥物，而且病人副作用最小？",80,110,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-111-2-basic-medicine-038","關於甲狀腺機能亢進（hyperthyroidism）治療藥物 Propylthiouracil 之敘述，下列何者錯誤？",38,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-042","下列那個酵素主要負責B細胞的體細胞超突變（somatic hypermutation）？",42,113,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-114-2-basic-medicine-036","有關 Angiotensin-converting enzyme inhibitors （ ACEIs）用於治療心衰竭的作用機制之敘述，下列何者錯誤？",36,114,"2026-09-04",1788510711329]