[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-113-1-基礎醫學-007","nurse-113-1-basic-medicine-007",113,1,7,"下列何者最可能同時降低動脈血壓波振幅（arterial pulse wave）與動脈血壓波速度（pulse wave velocity）？",{"A":15,"B":16,"C":17,"D":18},"粥狀動脈硬化","動脈老化","高血壓","低血壓","D",null,[],"本題考點在於動脈硬度與血壓對脈波（pulse wave）振幅及傳導速度的影響。脈波速度（PWV）與振幅主要取決於動脈壁的硬度與管內壓力：動脈愈硬、血壓愈高，脈波傳得愈快、振幅愈大；反之血壓降低時，管壁張力下降、脈波振幅與速度同時減小，故選 D『低血壓』。A 粥狀動脈硬化、B 動脈老化、C 高血壓皆使血管變硬或壓力上升，會提高脈波速度與振幅，方向相反。故選 D。","脈波速度可用 Moens-Korteweg 概念理解：管壁彈性模數愈大（愈硬）、PWV 愈快。低血壓時血管壁被撐開的張力小、順應性相對表現為脈波弱且傳導慢，故振幅與速度同降。臨床上 PWV 是評估動脈硬化的重要指標，老化與高血壓都會使其上升，此題以『同時降低』鎖定唯一使兩者皆下降的低血壓。",[25,27,29,31],{"term":26,"count":11},"脈波速度PWV",{"term":28,"count":11},"動脈壁硬度",{"term":30,"count":11},"血壓與脈波振幅",{"term":32,"count":11},"動脈順應性",[34,38,43,48,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-1-basic-medicine-008","在沒有抗利尿激素（antidiuretic hormone）介入的情況下，下列何處對鈉離子的再吸收（reabsorption）最多？",8,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-113-3-basic-medicine-004","DNA 雙股結構中的腺嘌呤（adenine）主要與下列何者配對？",4,3,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-114-1-basic-medicine-048","有關腺病毒（adenovirus）的敘述，下列何者錯誤？",48,114,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-115-2-basic-medicine-046","鬆脆桿菌（Bacteroides）存在人類黏膜組織，屬於共生菌，若造成疾病，常以多菌種的方式混合感染（polymicrobial mixture）。下列對其致病機轉的敘述，何者錯誤？",46,115,2,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-040","下列何種傳染病最有可能侵犯主動脈之血管滋養管（vasa vasorum）導致動脈瘤之產生？",40,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-1-basic-medicine-074","T 細胞與 B 細胞的交互作用能增強宿主對抗微生物的防禦。下列何者不需要 T 細胞的參與？",74,108,"2026-09-04",1788510749411]