[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-037":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-037","nurse-112-3-basic-medicine-037",112,3,37,"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）？",{"A":15,"B":16,"C":17,"D":18},"dronedarone","adenosine","sotalol","lidocaine","B",null,[],"本題考點在於辨識內生性抗心律不整物質。題目強調「人體內生性物質、靜脈給藥、治療陣發性心室上心搏過速（PSVT）」，符合此三特徵者為 adenosine（腺苷），它作用於 A1 受體暫時阻斷房室結傳導、終止折返性心律不整，半衰期極短，故選 B。A 的 dronedarone 為第三類抗心律不整藥（amiodarone 衍生物），非內生性。C 的 sotalol 兼具 β 阻斷與第三類作用，也非內生物質。D 的 lidocaine 為第 Ib 類，主要用於心室性心律不整而非心室上型。三者皆為外源藥物，故不選。","adenosine 是核苷（腺嘌呤+核糖），為體內能量代謝的天然產物，靜脈快速推注後數秒作用、半衰期約10秒，故須快速推注並立即以生理食鹽水沖管。臨床用於終止 PSVT，病人常短暫感到胸悶或臉潮紅，屬藥效正常表現。對比：治PSVT想adenosine、治心室性想lidocaine\u002Famiodarone。",[25,27,30,32],{"term":26,"count":11},"房室結傳導",{"term":28,"count":29},"adenosine腺苷",1,{"term":31,"count":29},"心室上心搏過速PSVT",{"term":33,"count":29},"抗心律不整藥分類",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-3-basic-medicine-038","使用口服 Levothyroxine 治療甲狀腺功能低下（hypothyroidism）時，併用下列何種口服藥物最會降低 Levothyroxine 吸收？",38,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-basic-medicine-034","下列何種藥物為前列腺素致效劑（agonist），可降低胃酸釋出，也能促進胃黏液的產生，以緩解胃潰瘍的病症？",34,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-114-1-basic-medicine-028","下列何者為快速進行性腎絲球腎炎（rapidly progressive glomerulonephritis）最主要的病理變化？",28,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-basic-medicine-026","B 型血友病（hemophilia B）是因缺乏下列何種凝血因子所造成？",26,115,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-107-1-basic-medicine-020","下列何種情況會使神經元產生去極化（depolarization）現象？",20,107,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-108-1-basic-medicine-054","有關抗癌藥物之敘述，下列何者錯誤？",54,108,"2026-09-04",1788510744203]