[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-032":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-113-1-基礎醫學-032","nurse-113-1-basic-medicine-032",113,1,32,"下列何者最常用於緊急治療過敏性休克（anaphylactic shock）？",{"A":15,"B":16,"C":17,"D":18},"terbutaline","isoproterenol","ephedrine","epinephrine","D",null,[],"本題考點在於過敏性休克的首選急救藥物。依藥理與急救指引，epinephrine（腎上腺素）同時興奮 α1（收縮血管、升血壓、抗水腫）、β1（強心）、β2（擴張支氣管）受體，能迅速逆轉過敏性休克的低血壓與呼吸道阻塞，故為第一線用藥，選 D。A terbutaline 僅 β2、B isoproterenol 僅 β 且會降血壓、C ephedrine 作用較弱且間接，皆不如 epinephrine 全面，故錯。","anaphylaxis 是 IgE 媒介的第一型過敏，肥大細胞釋放組織胺造成血管擴張、通透性增加與支氣管痙攣。epinephrine 的 α1 縮血管對抗低血壓與喉頭水腫、β2 解支氣管痙攣，是唯一能救命的藥，成人肌注 0.3–0.5 mg 大腿外側。記憶：anaphylaxis 首選永遠是 epinephrine，抗組織胺與類固醇只是輔助。",[25,28,31,32],{"term":26,"count":27},"第一型過敏反應",12,{"term":29,"count":30},"過敏性休克",2,{"term":18,"count":11},{"term":33,"count":11},"α與β腎上腺素受體",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-basic-medicine-033","下列對於毒品搖頭丸之敘述，何者最不適當？",33,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-113-3-basic-medicine-029","子宮肌腺症（adenomyosis）典型的表現，下列何者最恰當？",29,3,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-114-2-basic-medicine-023","下列何種自體抗體（autoantibody）與全身性紅斑性狼瘡（systemic lupus erythematosus）最相關？",23,114,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-basic-medicine-021","下列何者並不屬於自主神經系統之神經節？",21,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-065","在醫院群聚型院內細菌感染傳播中，下列那一種疏失是最常見的原因？",65,107,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-108-2-basic-medicine-019","若血壓維持不變，血管半徑變為原來的兩倍，此時流經此條血管的血流量將變為：",19,108,"2026-09-04",1788510749635]