[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-078":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-078","nurse-107-1-basic-medicine-078",107,1,78,"常發生於夏季的登革熱，其症狀可類似感冒，亦可嚴重至休克出血，其傳播途徑主要由下列那一種途徑？",{"A":15,"B":16,"C":17,"D":18},"鳥類","蟑螂","蚊子","老鼠","C",null,[],"本題考點為登革熱的傳播途徑。依流行病學,登革病毒(黃病毒屬 flavivirus)為蟲媒病毒,經受感染的斑蚊叮咬傳播,台灣主要病媒為埃及斑蚊與白線斑蚊,好發於夏季蚊蟲孳生期,故選 C 蚊子。A 鳥類、B 蟑螂、D 老鼠皆非登革熱病媒:鳥類與日本腦炎、西尼羅病毒的循環有關,鼠類與漢他病毒\u002F鉤端螺旋體有關,蟑螂則為機械性帶菌而非登革媒介,均與登革熱傳播不符。","登革熱防治對策全繞著『滅蚊、清孳生源』設計,呼應本科『巡倒清刷』的防疫題組。埃及斑蚊偏好人居容器積水、白天叮咬,故清除積水容器是切斷傳播鏈的核心。延伸:同為斑蚊\u002F其他蚊媒傳播者尚有屈公病、茲卡、日本腦炎(三斑家蚊)、瘧疾(瘧蚊)、絲蟲病;相對地鼠傳(漢他、鉤端、鼠咬熱)、鳥\u002F豬循環(日本腦炎放大宿主)可整理成『病媒—病原』對照表。二次感染不同血清型登革病毒可能因抗體依賴增強(ADE)導致登革出血熱,是重症機轉的考點。",[25,27,29,31],{"term":26,"count":11},"登革病毒(flavivirus)",{"term":28,"count":11},"斑蚊(埃及斑蚊\u002F白線斑蚊)",{"term":30,"count":11},"蟲媒傳播",{"term":32,"count":11},"孳生源清除",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-079","下列何者為目前實驗室中用於確定 HIV 感染之試驗？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-108-1-basic-medicine-015","下列何者位於延腦的錐體（pyramids）？",15,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-basic-medicine-029","下列何者可產生表面活性劑（surfactant）？",29,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-basic-medicine-067","臨床上以免疫學方法快速診斷隱球菌（Cryptococcus neoformans）引起之感染，通常是直接偵測下列何者？",67,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-031","下列有關人體在高海拔地區之生理調適反應，何者正確？",31,111,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-112-2-basic-medicine-045","下列何種自體免疫疾病，病人體內會有 IgG 抗體對抗腎臟基底膜上第四型膠原蛋白，引起腎組織內的發炎反應？",45,112,"2026-09-04",1788510701643]