[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-059":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-059","nurse-111-1-basic-medicine-059",111,1,59,"下列抗高血壓治療藥物，何者不會產生心搏過速之副作用？",{"A":15,"B":16,"C":17,"D":18},"Amlodipine","Atenolol","Prazosin","Hydralazine","B",null,[],"本題考點為抗高血壓藥物是否引起反射性心搏過速，須選不會者。Atenolol 屬 β1 選擇性腎上腺素受體阻斷劑，直接抑制心臟 β1 受體使心跳減慢，故不會造成心搏過速，選 B。A 的 Amlodipine 是雙氫吡啶類鈣離子阻斷劑，擴張血管降壓後可引發反射性心搏過速。C 的 Prazosin 是 α1 阻斷劑，擴張血管亦可致反射性心搏過速（及首劑姿位性低血壓）。D 的 Hydralazine 是直接血管擴張劑，最典型會引起明顯的反射性心搏過速。故唯有 β 阻斷劑 atenolol 反而使心跳變慢。","反射機轉：血管擴張劑（hydralazine、amlodipine、prazosin）降血壓後，壓力感受器反射性活化交感神經 → 心跳與心收縮上升，故常見心搏過速；hydralazine、minoxidil 反射最強，臨床常合併 β 阻斷劑抵消。β 阻斷劑則阻斷此交感反射、直接降心率，反而是拿來『壓住』反射性心搏過速的搭配藥。記憶：『擴血管→反射快心跳；擋 β→心跳變慢』。",[25,28,30,32],{"term":26,"count":27},"反射性心搏過速",2,{"term":29,"count":11},"抗高血壓藥物",{"term":31,"count":11},"Atenolol(β1 阻斷降心率)",{"term":33,"count":11},"血管擴張劑(hydralazine\u002Famlodipine\u002Fprazosin)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-060","下列何種藥物具有止吐作用，常合併 metoclopramide 以增強止吐的作用？",60,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-026","下列何種細胞對於輻射損傷較具有抵抗性？",26,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-3-basic-medicine-020","下列何者為微粒（micelle）在消化系統中的主要功能？",20,3,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-1-basic-medicine-018","耳下腺導管（parotid duct）開口於口腔何處的黏膜？",18,114,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-2-basic-medicine-022","第一型過敏反應是因人體的那一種抗體與抗原結合後，造成肥大細胞的去顆粒化作用，而釋出組織胺（histamine）？",22,115,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-1-basic-medicine-006","下列何者的管壁不具平滑肌？",6,107,"2026-09-04",1788510733218]