[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-036":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-112-1-基礎醫學-036","nurse-112-1-basic-medicine-036",112,1,36,"有機硝酸鹽用於治療及預防穩定型心絞痛，劑量大時會導致周邊阻力減少，引發反射性心跳加快，因此常與下列那類藥物合併使用來避免心絞痛惡化？",{"A":15,"B":16,"C":17,"D":18},"Alpha 腎上腺素受體拮抗劑","鈣離子通道阻斷劑","鈉離子通道阻斷劑","Beta 腎上腺素受體拮抗劑代號： 1102 頁次： 4－4","D",null,[],"本題考點在於硝酸鹽（nitrate）治療心絞痛的反射性心搏過速及合併用藥。有機硝酸鹽擴張血管降低周邊阻力，會反射性引發交感興奮、心跳加快與心肌耗氧增加，恐抵銷抗心絞痛效果。依藥理，合併 Beta 腎上腺素受體拮抗劑（β-blocker）可阻斷此反射性心搏過速、降低心肌耗氧，兩者互補，故選 D。考點在於排除其他：A Alpha 拮抗劑會進一步降血壓、加重反射性心搏過速；B 鈣離子通道阻斷劑雖也用於心絞痛，但無法有效抑制硝酸鹽引起的反射性心跳加快（部分 dihydropyridine 類反而加重）；C 鈉離子通道阻斷劑為抗心律不整用藥，非此用途。故以抑制反射性心搏過速考量，β-blocker 最適。",[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？",6,1783840769686]