[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-113-2-基礎醫學-017","nurse-113-2-basic-medicine-017",113,2,17,"下列何種生理調控現象，會使動脈壓上升？",{"A":15,"B":16,"C":17,"D":18},"醛固酮分泌降低","腎臟鹽和水的保留降低","血管收縮素 II 分泌增加","心房利鈉尿胜肽分泌增加","C",null,[],"本題考點在於腎素-血管收縮素-醛固酮系統（RAAS）對動脈壓的調控方向。依 RAAS 機轉，血管收縮素 II（angiotensin II）具強力血管收縮作用，並刺激醛固酮分泌以保留鈉水，兩者皆使動脈壓上升，故其分泌增加會升壓，選 C。A 錯：醛固酮分泌降低會減少鈉水保留、血量下降，血壓反而降低。B 錯：腎臟鹽和水的保留降低等於排出增加、循環血量減少，血壓下降。D 錯：心房利鈉尿胜肽（ANP）促進排鈉利尿、擴張血管，作用為降壓而非升壓。","升壓 vs 降壓可用「保留鈉水＝升壓、排鈉水＝降壓」一句話貫穿：angiotensin II 與 aldosterone 是升壓軸，ANP\u002FBNP 與利尿是降壓軸。angiotensin II 另會刺激下視丘口渴與 ADH 分泌，多管齊下升壓。這也是為何 ACEI\u002FARB 能降血壓。此題屬標準生理，無爭議。",[25,28,31,33],{"term":26,"count":27},"醛固酮",6,{"term":29,"count":30},"RAAS 系統",5,{"term":32,"count":11},"血管收縮素 II",{"term":34,"count":35},"心房利鈉尿胜肽 ANP",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-113-2-basic-medicine-018","抗利尿激素（antidiuretic hormone）最能增加下列何處對水分的再吸收（reabsorption）？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-114-1-basic-medicine-014","下列何者屬於彈性動脈？",14,114,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-114-3-basic-medicine-008","想要聽清楚主動脈半月瓣（aortic semilunar valve）關閉的心音，要將聽診器置放於何處最佳？",8,3,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-106-1-basic-medicine-056","下列何種利尿劑可減少尿路結石及骨質疏鬆的發生率？",56,106,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-107-2-basic-medicine-020","下列那一腦區受損將使人失去害怕的感覺？",20,107,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-108-2-basic-medicine-054","下列何種藥物可減少糖分的吸收？",54,108,"2026-09-04",1788510754018]