[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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,"freq":11},"nurse-111-1-基礎醫學-049","nurse-111-1-basic-medicine-049",111,1,49,"Dobutamine 可用於增加急性鬱血性心臟衰竭（congestive heart failure）病人的心輸出量（cardiac output），其作用主要是透過活化下列何種受體而產生？",{"A":15,"B":16,"C":17,"D":18},"β 1 腎上腺素受體（β 1 adrenergic receptor）","β 2 腎上腺素受體（β 2 adrenergic receptor）","D 1 多巴胺受體（D 1 dopaminergic receptor）","D 2 多巴胺受體（D 2 dopaminergic receptor）","A",null,[],"本題考點為 Dobutamine 增加心輸出量的受體作用機轉。Dobutamine 是合成的擬交感神經藥，主要選擇性活化心臟的 β1 腎上腺素受體，透過提高心肌收縮力（正性肌力）與心跳而增加心輸出量，用於急性鬱血性心衰竭，故選 A。β2 受體（B）主要分布於支氣管與血管平滑肌，作用是舒張，並非其主要增加心收縮的途徑。D1 多巴胺受體（C）由 dopamine 在低劑量活化以擴張腎與腸繫膜血管，非 dobutamine 主作用。D2 多巴胺受體（D）與突觸前抑制、催吐化學受器區有關，也非本藥主軸。故 β1 受體為正解。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":37,"stem":38,"number":39,"year":27,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":27,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":27,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840768468]