[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":11},"nurse-112-3-基礎醫學-036","nurse-112-3-basic-medicine-036",112,3,36,"下列藥物中，何者可以拮抗第一型 angiotensin II（AT1）受體，使小動脈及靜脈舒張，達到降血壓的效果？",{"A":15,"B":16,"C":17,"D":18},"Captopril","Felodipine","Aliskiren","Irbesartan","D",null,[],"本題考點在於降血壓藥物的分類與作用位置。題目要找的是拮抗第一型血管收縮素II（AT1）受體者，即 ARB（血管收縮素受體阻斷劑），Irbesartan 字尾為「-sartan」正是 ARB 典型代表，直接阻斷 AT1 受體使小動脈與靜脈舒張而降壓，故選 D。A 的 Captopril 字尾「-pril」為 ACE 抑制劑，作用在酵素而非受體。B 的 Felodipine 字尾「-dipine」為鈣離子通道阻斷劑。C 的 Aliskiren 為直接腎素抑制劑，抑制 renin 而非 AT1 受體。三者機轉不同，故不選。","腎素-血管收縮素-醛固酮系統（RAAS）常考三個作用點：renin（被 aliskiren 抑制）→ ACE（被 -pril 抑制）→ AT1 受體（被 -sartan 阻斷）。ARB 因不影響緩激肽代謝，較少引起 ACE 抑制劑常見的乾咳，是臨床上不耐 ACEI 咳嗽時的替代選擇。字尾辨識口訣：-sartan 塞住受體、-pril 壓酵素、-dipine 擋鈣。",[25,27,30,32],{"term":26,"count":11},"RAAS系統",{"term":28,"count":29},"ARB血管收縮素受體阻斷劑",1,{"term":31,"count":29},"AT1受體",{"term":33,"count":29},"藥名字尾分類",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-3-basic-medicine-037","下列抗心律不整藥物中，何者為人體內生性物質，經靜脈方式給與高劑量時，可以有效治療心室上心搏過速（supraventricular tachycardias）？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-basic-medicine-033","下列藥物中，何者無法改善幼兒之注意力缺損過動症（attention deficit hyperactivity disorder）？",33,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-114-1-basic-medicine-027","有關家族性腺瘤性息肉症（familial adenomatous polyposis），下列敘述何者錯誤？",27,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-basic-medicine-025","有關鼻咽癌（nasopharyngeal carcinoma）的敘述，下列何者正確？",25,115,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-107-1-basic-medicine-019","當迷走神經興奮時，對心臟的影響下列何者正確？",19,107,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-108-1-basic-medicine-053","下列何者不是治療骨質疏鬆症的藥物？",53,108,"2026-09-04",1788510744197]