[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-basic-medicine-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-106-2-基礎醫學-069","nurse-106-2-basic-medicine-069",106,2,69,"婦女經期使用的衛生棉條不潔時，會引起毒性休克症候群，是下列何種細菌產生之毒素所引起的？",{"A":15,"B":16,"C":17,"D":18},"腦膜炎雙球菌（Neisseriae meningitidis）","A 族性鏈球菌（group A Streptococcus）","金黃色葡萄球菌（Staphylococcus aureus）","淋病雙球菌（Neisseriae gonorrhoeae）","C",null,[],"本題考點為毒性休克症候群(TSS)的致病菌與毒素。衛生棉條不潔相關的 TSS 主要由金黃色葡萄球菌產生的毒性休克症候群毒素(TSST-1)所致,此毒素作為超級抗原,大量非專一活化 T 細胞引發細胞激素風暴與休克,選 C。A 腦膜炎雙球菌引起腦膜炎與敗血症。B A 族鏈球菌雖亦可致侵襲性 TSS,但棉條相關的經典型以金黃色葡萄球菌為主。D 淋病雙球菌引起淋病,均非本題經典病因。","超級抗原(如 TSST-1)不經正常抗原處理,直接橋接 MHC II 與 TCR 的 Vβ 區,可活化多達 20% T 細胞,釋放大量 IL-2、TNF、IFN-γ 造成發燒、低血壓、脫屑性紅疹與多器官衰竭。經典風險為高吸收力棉條久置。A 族鏈球菌的 SPE 也是超級抗原,但常合併壞死性軟組織感染。記憶:棉條 TSS=金黃葡萄球菌『TSST-1 超級抗原』。",[25,28,30,32],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":11},"超級抗原",{"term":31,"count":11},"毒性休克症候群",{"term":33,"count":34},"TSST-1 毒素",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-basic-medicine-070","下列何者不是革蘭氏陽性桿菌？",70,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-107-2-basic-medicine-006","心臟的電位傳導系統中，何構造位於冠狀竇開口處？",6,107,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-108-1-basic-medicine-020","精子產生後在下列何處成熟，而獲得運動能力？",20,108,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-109-1-basic-medicine-058","關節炎之發炎反應可用 celecoxib 加以治療，其較少引發胃腸道出血。此藥物主要阻斷何種自泌素之生合成？",58,109,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-110-2-basic-medicine-022","下列何種細胞受損對血腦障壁（blood-brain barrier）的功能影響最大？",22,110,{"webId":61,"stem":62,"number":43,"year":63,"session":34},"nurse-112-1-basic-medicine-006","將導管從頸內靜脈放置到上腔靜脈，過程中導管須穿過那條血管？",112,"2026-09-04",1788510696812]