[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-036":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-114-2-基礎醫學-036","nurse-114-2-basic-medicine-036",114,2,36,"有關 Angiotensin-converting enzyme inhibitors （ ACEIs）用於治療心衰竭的作用機制之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"抑制交感神經活性","減少血管阻力","減少鈉水滯留","減少 bradykinin 濃度","D",null,[],"本題考點在於 ACE 抑制劑治療心衰竭的作用機轉。本題為反向題,錯誤敘述為 D「減少 bradykinin 濃度」。依藥理機轉,ACE 同時負責分解緩激肽(bradykinin),故 ACEI 抑制此酶時 bradykinin 濃度反而上升(這也是乾咳副作用的原因),D 敘述方向相反,故選 D。A 正確,降低血管收縮素 II 可間接抑制交感活性;B 正確,減少血管收縮素 II 使血管阻力下降;C 正確,減少醛固酮分泌而減少鈉水滯留。故正解為 D。","機轉整理:ACE 有雙重角色—把 AngI 轉為 AngII(升壓)並分解緩激肽(降壓物質)。ACEI 阻斷後 AngII↓、緩激肽↑,故降壓且減後負荷,對心衰竭有益;但緩激肽累積誘發乾咳與血管性水腫。若不能耐受乾咳可換用 ARB(不影響緩激肽)。",[25,28,31,33],{"term":26,"count":27},"醛固酮",6,{"term":29,"count":30},"ACE 抑制劑",5,{"term":32,"count":11},"血管收縮素 II",{"term":34,"count":35},"緩激肽 bradykinin",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-2-basic-medicine-037","下列利尿劑中，何者在頻繁及高劑量使用下易產生耳毒性（ototoxicity）副作用？",37,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-115-1-basic-medicine-033","藥物動力學（pharmacokinetics）探究藥物的範疇，不包括下列那一項？",33,115,{"webId":47,"stem":48,"number":49,"year":50,"session":35},"nurse-106-1-basic-medicine-027","下列有關血壓的敘述，何者錯誤？",27,106,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"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":57,"stem":58,"number":59,"year":60,"session":11},"nurse-108-2-basic-medicine-029","下列何者可產生表面活性劑（surfactant）？",29,108,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-109-2-basic-medicine-063","Caspofungin用於治療黴菌感染，下列何者為其作用機轉？",63,109,"2026-09-04",1788510758822]