[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-107-1-基礎醫學-072","nurse-107-1-basic-medicine-072",107,1,72,"下列何項病原菌並非經過水來傳播？",{"A":15,"B":16,"C":17,"D":18},"退伍軍人桿菌","鉤端螺旋菌","肺炎披衣菌","土倫法蘭西斯菌","C",null,[],"本題考點為病原菌的傳播途徑辨識,問「非」經水傳播者。依流行病學,退伍軍人桿菌（Legionella）孳生於水塔、冷卻水系統,經含菌水氣霧滴傳播;鉤端螺旋菌（Leptospira）存於鼠尿污染的水土,經皮膚黏膜接觸疫水感染;土倫法蘭西斯菌（Francisella tularensis）可經污染水源或病媒感染,三者皆與水相關。肺炎披衣菌（Chlamydophila pneumoniae）屬呼吸道病原,經飛沫在人與人間傳播,不靠水,故選 C。A、B、D 均屬水媒或疫水相關病原,故非答案。","訣竅:記住『水的三隻』——Legionella(冷卻水\u002F空調)、Leptospira(鼠尿疫水,颱風淹水後好發)、Tularemia(兔熱病,水\u002F蜱\u002F接觸)。而 Chlamydophila pneumoniae 與 Mycoplasma 同屬非典型肺炎、走呼吸道飛沫,是明顯的『不合群』選項。披衣菌為絕對細胞內寄生、缺乏胜肽聚醣細胞壁,故 β-lactam 無效,治療用巨環類或四環黴素。辨題時只要抓住『唯一的呼吸道飛沫病原』即可快速排除。",[25,27,29,31],{"term":26,"count":11},"退伍軍人桿菌(Legionella)",{"term":28,"count":11},"鉤端螺旋菌(Leptospira)",{"term":30,"count":11},"肺炎披衣菌(Chlamydophila pneumoniae)",{"term":32,"count":11},"飛沫傳播 vs 水媒傳播",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-073","鏈桿菌（Streptobacillus spp.）和螺旋菌（Spirillum spp.）的比較，下列何者敘述錯誤？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-108-1-basic-medicine-009","胎兒心臟的卵圓孔，連通的是那兩個腔室？",9,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-basic-medicine-023","下列何種激素由腺體分泌後，可被轉變為更具活性的形式？",23,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-basic-medicine-061","下列何種藥物屬於腸刺激或腸興奮劑，常與含有docusate的軟便劑合用，用於治療鴉片類藥物引發之便秘？",61,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-025","正常成年男子之腎絲球過濾率（glomerular filtration rate）約為多少 mL\u002Fmin？",25,111,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-112-2-basic-medicine-039","Leucovorin 常用於降低下列何種抗癌藥物之副作用？",39,112,"2026-09-04",1788510701589]