[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-040":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-107-2-基礎醫學-040","nurse-107-2-basic-medicine-040",107,2,40,"黴漿菌（Mycoplasma pneumonia）肺炎的病理特徵為何？",{"A":15,"B":16,"C":17,"D":18},"大多為大葉性肺炎","淋巴球及組織球浸潤於細支氣管旁的肺泡間質及肺泡壁內","病人經常出現高燒、咳嗽且帶濃痰","肺切片用甲苯胺藍染色法，可以檢測出黴漿菌","B",null,[],"本題考點是黴漿菌肺炎的病理型態。依感染病理學,黴漿菌肺炎屬「非典型肺炎」,病理特徵是淋巴球與組織球（單核細胞）浸潤於細支氣管周圍及肺泡「間質」,呈間質性肺炎型態,而非肺泡腔內化膿性滲出,故選 B。A 錯,大葉性肺炎典型由肺炎鏈球菌引起,黴漿菌多為間質性、斑塊狀分布。C 錯,黴漿菌肺炎臨床多為乾咳、低至中度發燒的「走路型肺炎」,少見高燒濃痰。D 錯,黴漿菌無細胞壁、體積極小,無法用一般染色檢出,甲苯胺藍並非其標準檢測法,診斷多靠血清學或分子檢測。","型態對比:典型肺炎（肺炎鏈球菌）＝肺泡腔內嗜中性白血球滲出、肺葉實質化、高燒濃痰;非典型肺炎（黴漿菌、披衣菌、退伍軍人菌）＝間質性淋巴單核浸潤、乾咳、症狀與胸片不成比例。黴漿菌特點:無細胞壁（故 β-lactam 類抗生素無效,需用巨環類或四環素類）、可引發冷凝集素、肺外表現如皮疹與溶血。記憶:「walking pneumonia」＝症狀輕、能走動的黴漿菌肺炎,好發於年輕族群與群聚環境。可連結:非典型肺炎抗生素選擇、冷凝集素試驗。",[25,28,31,33],{"term":26,"count":27},"無細胞壁",3,{"term":29,"count":30},"黴漿菌非典型肺炎",1,{"term":32,"count":30},"間質性淋巴單核浸潤",{"term":34,"count":30},"走路型肺炎乾咳",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-basic-medicine-041","惡性貧血（pernicious anemia）的病因主要是缺乏下列何者：",41,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-108-1-basic-medicine-057","下列抗精神病藥物中，何者的錐體外症狀（Extrapyramidal symptoms）副作用最強？",57,108,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-108-2-basic-medicine-071","對反轉錄病毒的敘述，下列何者錯誤？",71,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-110-1-basic-medicine-029","有關淋巴循環的生理功能敘述，下列何者錯誤？",29,110,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-111-1-basic-medicine-073","關於萊姆病（Lyme disease）的敘述，下列何者錯誤？",73,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-112-3-basic-medicine-037","下列抗心律不整藥物中，何者為人體內生性物質，經靜脈方式給與高劑量時，可以有效治療心室上心搏過速（supraventricular tachycardias）？",37,112,"2026-09-04",1788510723649]