[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":67},"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-110-2-基礎醫學-058","nurse-110-2-basic-medicine-058",110,2,58,"Propranolol 治療甲狀腺亢奮引起之震顫及心悸，但病人有下列何種疾病時，不宜使用？",{"A":15,"B":16,"C":17,"D":18},"高血壓","心搏過速","氣喘","偏頭痛","C",null,[],"本題考點為非選擇性 β 阻斷劑 Propranolol 的禁忌症。依其藥理，Propranolol 同時阻斷 β1 與 β2 受體；β2 阻斷會促使支氣管平滑肌收縮，對氣喘等阻塞性呼吸道疾病可能誘發嚴重支氣管痙攣，故氣喘為禁忌，選 C。A 高血壓與 B 心搏過速正是 β 阻斷劑可治療的適應症，並非禁忌；D 偏頭痛的預防用藥即包含 Propranolol，屬其治療用途，皆非本題所問的禁忌情況。","β2 受體分布於支氣管平滑肌，被拮抗後失去舒張張力而傾向收縮，這是非選擇性 β 阻斷劑用於氣喘、慢性阻塞性肺病須避免的核心理由。記憶對比：若病人必須用 β 阻斷劑，可選對 β1 相對選擇性的藥（atenolol、metoprolol、bisoprolol）以降低支氣管風險，但高劑量時選擇性仍會流失。此題情境為甲狀腺亢進的震顫與心悸，Propranolol 既降交感症狀又抑制周邊 T4 轉 T3。可連結概念：β1 對心臟、β2 對支氣管與血管、選擇性 β 阻斷劑的臨床取捨。",[25,27,30,32,34],{"term":26,"count":11},"Propranolol",{"term":28,"count":29},"非選擇性 β 阻斷劑",1,{"term":31,"count":29},"β2 受體與支氣管收縮",{"term":33,"count":29},"氣喘禁忌",{"term":35,"count":29},"選擇性 β1 阻斷劑",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-basic-medicine-059","抗高血壓藥物 Aliskiren 的藥理作用為何？",59,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-basic-medicine-075","下列那一種細菌與引起非典型肺炎（atypical pneumonia）較為無關？",75,111,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-112-1-basic-medicine-039","有關泌乳激素 prolactin 的敘述，下列何者錯誤？",39,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-basic-medicine-037","下列何者屬於抑制腸胃蠕動的藥物（antimotility agents），用於治療嚴重腹瀉？",37,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-basic-medicine-041","泌尿道細菌感染的病人尿液複檢，卻呈現細菌培養陰性的結果，下列原因何者最為可能？",41,114,3,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-005","有關兩性骨盆的比較，下列何者男性大於女性？",5,106,"2026-09-04",1788510727814]