[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-050":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":27},"nurse-109-2-基礎醫學-050","nurse-109-2-basic-medicine-050",109,2,50,"下列抗心律不整的藥物，何者會延長動作電位的間期，且甲狀腺機能異常者需小心使用？",{"A":15,"B":16,"C":17,"D":18},"Amiodarone","Verapamil","Propranolol","Quinidine","A",null,[],"本題考點在於抗心律不整藥的Vaughan-Williams分類與延長動作電位特性。考點在於辨識第III類藥:Amiodarone阻斷鉀通道,延長再極化、動作電位時間與QT間距;且分子含碘,長期使用可致甲狀腺功能異常,甲狀腺疾病者須小心,故選A。B的Verapamil屬第IV類鈣通道阻斷劑,作用於房室結。C的Propranolol屬第II類β阻斷劑,減慢心率。D的Quinidine屬第Ia類雖也延長動作電位,但不含碘、與甲狀腺無關。唯Amiodarone同符兩條件,為正解。","第III類機轉:阻K通道→延長再極化與有效不反應期→QT延長。Amiodarone獨特在於含碘,兼具I\u002FII\u002FIII\u002FIV類特性,毒性面廣:甲狀腺功能亢進或低下、肺纖維化、角膜沉積、皮膚藍灰色素、肝毒性。記憶「A for Amiodarone, A for Airway\u002FAdrenal-thyroid毒」。Quinidine(Ia)延長QT但機轉是同時阻Na與K,易致torsades。可連結QT延長、torsades de pointes與Amiodarone多器官毒性複習。",[25,28,30,31,33],{"term":26,"count":27},"Vaughan-Williams分類",1,{"term":29,"count":27},"第III類抗心律不整藥",{"term":15,"count":27},{"term":32,"count":27},"鉀通道阻斷",{"term":34,"count":27},"含碘甲狀腺毒性",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-basic-medicine-051","口服降血糖藥物首選雙胍（biguanides）類用藥，下列何者為最常見的副作用？",51,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-110-1-basic-medicine-067","藍氏（Lancefield）血清學分類法，主要是依溶血性鏈球菌之何種構造的抗原不同加以分類？",67,110,{"webId":46,"stem":47,"number":27,"year":48,"session":27},"nurse-111-1-basic-medicine-001","下列何者主要是由膜（membrane）構成的胞器？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-basic-medicine-019","有關換氣過度（hyperventilation）的敘述，下列何者錯誤？",19,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-basic-medicine-023","微生物可能和癌症有關，下列敘述何者最不適當？",23,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-115-1-basic-medicine-017","下列有關子宮內膜（endometrium）的敘述，何者正確？",17,115,"2026-09-04",1788510715184]