[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-107-1-內外科護理學-009","nurse-107-1-medical-surgical-009",107,1,9,"引起急性感染性腹瀉後可能出現關節炎合併症之微生物，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"Clostridium difficile","E. coli","Rotavirus","Shigella","D",null,[],"本題考點為感染性腹瀉後併發反應性關節炎的病原。依反應性關節炎(Reiter 症候群)屬感染後的自體免疫性關節發炎，好發於特定腸道與泌尿道病原之後，志賀氏菌(Shigella)為典型誘發菌之一，故選D。A困難梭狀桿菌(C. difficile)主要引起偽膜性結腸炎;B大腸桿菌(E. coli)多致水瀉或出血性腸炎;C輪狀病毒(Rotavirus)為嬰幼兒病毒性腹瀉主因，三者與腹瀉後關節炎的關聯性均不如志賀氏菌具代表性，故皆非最適答案。","反應性關節炎的經典腸道誘發菌可記「Shigella、Salmonella、Yersinia、Campylobacter」,加上泌尿道的 Chlamydia。典型三聯徵(Reiter):關節炎、尿道炎、結膜炎——「can't see, can't pee, can't climb a tree」。此病與 HLA-B27 高度相關,屬血清陰性脊椎關節病變家族(含僵直性脊椎炎)。機轉是分子擬態:病原抗原與關節組織相似,引發交叉免疫反應,關節液培養通常無菌(非化膿性),此點與敗血性關節炎不同。",[24,26,28,30],{"term":25,"count":10},"反應性關節炎",{"term":27,"count":10},"志賀氏菌 Shigella",{"term":29,"count":10},"感染後自體免疫",{"term":31,"count":10},"HLA-B27",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-010","有關傾倒症候群（Dumping Syndrome）的敘述，下列何者正確？",10,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-medical-surgical-026","有關中耳手術後病人之護理指導，下列何者錯誤？",26,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-040","維生素 B 12 缺乏造成的惡性貧血，可透過下列何種試驗或檢查進行鑑別？",40,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-medical-surgical-078","有關過敏性休克的治療與護理指導，下列何者錯誤？",78,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-medical-surgical-042","有關癌症病人感染問題的敘述，下列何者錯誤？",42,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-medical-surgical-076","有關骨折病人到院前急救處理原則，下列何者為最優先的處置？",76,111,"2026-09-04",1788510702506]