[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-034":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-112-3-基礎醫學-034","nurse-112-3-basic-medicine-034",112,3,34,"下列有關 Propranolol 特性和作用之敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可通過血腦障壁（blood-brain barrier）","治療急性甲狀腺功能亢進（acute hyperthyroidism）","可引起血糖上升","抑制腎素（renin）分泌","C",null,[],"本題考點在於 Propranolol 的藥理特性辨識。Propranolol 為非選擇性 β 阻斷劑，脂溶性高可通過血腦障壁、可用於控制甲狀腺功能亢進的心悸與顫抖症狀、並抑制腎素分泌而降血壓。本題為反向題，錯誤敘述為 C「可引起血糖上升」：β 阻斷劑反而會抑制肝醣分解與掩蓋低血糖症狀（如心悸、顫抖），傾向使血糖偏低或遮蔽低血糖警訊，而非升高血糖。A 通過血腦障壁、B 治療急性甲亢、D 抑制腎素分泌皆為正確特性，故錯誤者為 C。","β 阻斷劑對血糖的關鍵臨床提醒是「遮蔽並延緩低血糖恢復」：它抑制交感媒介的肝醣分解與升糖反應，並鈍化低血糖時的心悸、顫抖等警訊，故糖尿病用胰島素者併用非選擇性 β 阻斷劑須特別小心。Propranolol 高脂溶性使其易入中樞，亦用於預防偏頭痛與控制焦慮性顫抖。記法：β 阻斷劑「壓交感」，連升糖與低血糖警訊一起壓下去，故傾向低血糖而非升糖。",[25,28,30,33],{"term":26,"count":27},"Propranolol",2,{"term":29,"count":27},"非選擇性β阻斷劑",{"term":31,"count":32},"低血糖遮蔽",1,{"term":34,"count":32},"腎素抑制",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-035","非類固醇抗發炎藥物（NSAIDs）可以抑制下列何種酵素之活性，減少前列腺素生成，而產生解熱、鎮痛，以及抗發炎效果？",35,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-113-2-basic-medicine-031","有關麥角生物鹼（ergot alkaloids）的作用，下列敘述何者錯誤？",31,113,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-1-basic-medicine-025","下列何種血管炎會造成主動脈（aorta）及其主要分支的發炎狹窄，可能導致上肢摸不到脈搏，因而又稱為無脈症（pulseless disease）？",25,114,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-115-2-basic-medicine-023","有關體染色體隱性（autosomal recessive）遺傳疾病的描述，下列何者錯誤？",23,115,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-107-1-basic-medicine-017","有關脂質（lipid）與脂肪（fat）的敘述，下列何者正確？",17,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-108-1-basic-medicine-051","下列何者為治療毛地黃中毒時，引發心室纖維顫動的首選藥物？",51,108,"2026-09-04",1788510744173]