[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-107-2-基礎醫學-072","nurse-107-2-basic-medicine-072",107,2,72,"針對淋病雙球菌（Neisseria gonorrhoeae ）造成的疾病，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"主要造成生殖泌尿道感染","臨床上透過疫苗已可以有效預防疾病發生","是革蘭氏陰性菌，具有內毒素，可造成發燒","可能會造成皮疹及關節炎","B",null,[],"本題考點在於淋病雙球菌 Neisseria gonorrhoeae 的致病與防治。依微生物學，淋病至今無有效疫苗，主因其表面抗原（如 pilin、Opa 蛋白）高度變異、免疫逃脫，故「透過疫苗已可有效預防」的選項 B 為錯誤敘述，即本題答案。A 正確，淋病主要侵犯泌尿生殖道黏膜。C 正確，其為革蘭氏陰性雙球菌，具內毒素（脂寡糖 LOS）可引發發燒與發炎。D 正確，播散性淋病（DGI）可致皮疹與化膿性關節炎。","抗原變異是淋病無疫苗的關鍵：pilin 的基因重組與相位變異讓免疫記憶失效，感染後不產生保護性免疫、可反覆感染。與腦膜炎雙球菌（同屬 Neisseria）對比：後者有莢膜多醣疫苗，前者無莢膜、靠 LOS 與 IgA protease 逃避黏膜免疫。治療因抗藥性升高，現以 ceftriaxone 為主。DGI 三聯徵：游走性多關節痛、腱鞘炎、皮膚膿疱疹。",[25,27,30,32,34],{"term":26,"count":11},"抗原變異",{"term":28,"count":29},"Neisseria gonorrhoeae",1,{"term":31,"count":29},"無有效疫苗",{"term":33,"count":29},"革蘭氏陰性菌內毒素",{"term":35,"count":29},"播散性淋病",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-107-2-basic-medicine-073","下列何種細菌較容易引起抗生素相關腹瀉（antibiotic-associated diarrhea）？",73,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-108-2-basic-medicine-009","下列血球何者最終成熟的位置不是在骨髓？",9,108,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-109-1-basic-medicine-023","人體甲狀腺激素（thyroid hormone）分泌不足時，最可能出現下列何種症狀？",23,109,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-110-1-basic-medicine-061","關於 corticosteroid 的臨床用途，下列何者錯誤？",61,110,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-111-2-basic-medicine-025","關於唐氏症（Down syndrome）的敘述，下列何者錯誤？",25,111,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-113-1-basic-medicine-019","肝胰壺腹是由下列那兩者會合而形成？",19,113,"2026-09-04",1788510723982]