[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-111-1-基礎醫學-051","nurse-111-1-basic-medicine-051",111,1,51,"下列藥物和作用機轉之配對，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"Procainamide：阻斷鉀離子通道","Bretylium：阻斷鉀離子通道","Propanolol：阻斷腎上腺素 beta 受體","Quinidine：阻斷鈉離子通道","A",null,[],"本題考點為抗心律不整藥物與作用機轉的配對，須選錯誤者。Procainamide 屬 Vaughan-Williams 第 IA 類，主要機轉是阻斷鈉離子通道（同時中度延長動作電位），而非阻斷鉀離子通道，故 A 配對錯誤，選 A。B 正確，Bretylium 屬第 III 類、延長動作電位主要與鉀離子通道阻斷相關。C 正確，Propranolol 屬第 II 類 β 腎上腺素受體阻斷劑。D 正確，Quinidine 與 procainamide 同屬第 IA 類，阻斷鈉離子通道。因此關鍵在辨識 procainamide 的第一線機轉是鈉通道阻斷。","Vaughan-Williams 分類記憶：I 類阻鈉（IA quinidine\u002Fprocainamide\u002Fdisopyramide 延長 APD；IB lidocaine 縮短；IC flecainide 幾乎不影響 APD）；II 類 β 阻斷（propranolol、metoprolol）；III 類阻鉀延長 APD（amiodarone、sotalol、bretylium、ibutilide）；IV 類阻鈣（verapamil、diltiazem）。IA 類雖也有部分延長再極化（含些許鉀通道效應）作用，但其被歸類與命題核心是『阻鈉』，故 A 的『阻鉀為主』敘述判為錯。",[25,28,30,32],{"term":26,"count":27},"Vaughan-Williams 分類",3,{"term":29,"count":11},"Procainamide(IA 類鈉通道阻斷)",{"term":31,"count":11},"Bretylium(III 類鉀通道)",{"term":33,"count":11},"Quinidine(鈉通道)",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-052","下列藥物中，何者不適用於治療生長激素分泌過多而產生的肢端肥大症？",52,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-018","下列有關敗血性休克的敘述，何者最不可能發生？",18,112,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-112-3-basic-medicine-012","有關激素（hormone）的敘述，下列何者正確？",12,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-basic-medicine-010","有關輔脂解酶（colipase）的敘述，下列何者正確？",10,114,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-115-2-basic-medicine-014","某病人接受頸部手術後，抱怨手術後食慾不佳、便秘症狀。上述症狀最可能是因為那一條神經受損所造成？",14,115,2,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-106-2-basic-medicine-078","治療愛滋病之藥物 zidovudine（AZT）的作用為：",78,106,"2026-09-04",1788510733134]