[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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":27},"nurse-114-3-基礎醫學-017","nurse-114-3-basic-medicine-017",114,3,17,"關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"減少血管張力素 II 的生成，並降低醛固酮","減少血管張力素 II 的生成，但增加醛固酮","增加血管張力素 II 的生成，並增加醛固酮","增加血管張力素 II 的生成，但降低醛固酮","A",null,[],"本題考點在於血管張力素轉換酶(ACE)抑制劑的作用機轉。ACE抑制劑阻斷血管張力素I轉化為血管張力素II,故血管張力素II生成減少;因血管張力素II是刺激腎上腺皮質分泌醛固酮的主要因子,其減少使醛固酮亦下降,結果血管舒張、鈉水滯留減少而降血壓,故選A。B錯在醛固酮應隨血管張力素II下降而降低、非增加;C、D皆誤將血管張力素II寫成增加,與『抑制ACE使其減少』的機轉相反,故錯。","ACE同時分解緩激肽(bradykinin),被抑制後緩激肽累積可致乾咳與血管性水腫,是ACE抑制劑的典型副作用;此時可改用血管張力素受體阻斷劑(ARB)。另需留意ACE抑制劑會升血鉀、孕期禁用。可用RAAS軸『腎素→AngI→(ACE)→AngII→醛固酮』整條記憶其作用點。",[25,28,30,33],{"term":26,"count":27},"醛固酮",6,{"term":29,"count":11},"RAAS系統",{"term":31,"count":32},"ACE抑制劑",2,{"term":34,"count":35},"血管張力素II",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-3-basic-medicine-018","當腎臟分泌的氫離子與磷酸氫根結合後排出體外，血漿的淨反應為何？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":32},"nurse-115-2-basic-medicine-014","某病人接受頸部手術後，抱怨手術後食慾不佳、便秘症狀。上述症狀最可能是因為那一條神經受損所造成？",14,115,{"webId":47,"stem":48,"number":49,"year":50,"session":35},"nurse-106-1-basic-medicine-058","下列緊急降血壓用藥，何者的藥效作用持續時間最短？",58,106,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-107-2-basic-medicine-016","自主神經系統的白交通枝內含下列何者？",16,107,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-108-2-basic-medicine-060","下列何種降血壓藥物，禁止用於孕婦？",60,108,{"webId":62,"stem":63,"number":44,"year":64,"session":35},"nurse-110-1-basic-medicine-014","依照大腸（large intestine）前後排列之順序，下列何者在最前端？",110,"2026-09-04",1788510761069]