[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-058":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-058","nurse-111-1-basic-medicine-058",111,1,58,"血管緊縮素轉換酶抑制劑用於治療充血性心衰竭病人，其作用機轉為何？",{"A":15,"B":16,"C":17,"D":18},"增加血中腎素活性，但不影響心臟纖維化","減少腎素產生，進而減少心臟纖維化","減少周邊血管阻抗，促進利尿來降低心臟後負荷","減少醛固酮（aldosterone）分泌，可降低心臟前負荷","D",null,[],"本題考點為血管收縮素轉換酶抑制劑（ACEI）治療充血性心衰竭的機轉。ACEI 抑制 ACE，使血管收縮素 II（angiotensin II）生成減少，進而減少醛固酮（aldosterone）分泌；醛固酮下降會減少鈉水滯留、降低循環血量與心臟前負荷，故 D 敘述正確，選 D。A 說法方向與治療目的不符。B 的『減少腎素產生』並非 ACEI 直接機轉，ACEI 反因負回饋反而使腎素活性上升。C 提到減少周邊阻抗確有其事（angiotensin II 減少使血管舒張、降後負荷），但本題正解鎖定醛固酮下降降前負荷的敘述。故選 D。",[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？",6,1783840768544]