[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-108-1-基礎醫學-035","nurse-108-1-basic-medicine-035",108,1,35,"岡氏複合體（Ghon’s complex）是下列何種微生物感染肺部所造成的臨床病理特徵？",{"A":15,"B":16,"C":17,"D":18},"結核桿菌（Mycobacterium tuberculosis）","麴菌（Aspergillus fumigatus）","隱球菌（Cryptococcus neoformans）","粘黴菌（Mucor amphibiorum）","A",null,[],"本題考點為肺結核的特徵性病理表現。依病理學，岡氏複合體（Ghon's complex）指原發性肺結核在肺周邊形成的岡氏病灶（Ghon focus，乾酪樣肉芽腫）合併同側肺門淋巴結受侵，為結核桿菌（Mycobacterium tuberculosis）初次感染肺部的典型標記，故選 A。麴菌（B）造成的是麴菌球或侵襲性肺麴菌病；隱球菌（C）多見於免疫低下者的肺與腦膜感染；粘黴菌（D）造成血管侵襲性的黴菌病，三者皆不形成岡氏複合體，故非答案。","結核的病理核心是『乾酪樣肉芽腫』——中央乾酪樣壞死、外圍類上皮細胞、Langhans 巨細胞與淋巴球包圍，為第四型（T 細胞媒介）遲發過敏反應的表現。岡氏病灶癒合後鈣化，X 光可見；若再活化多發生於肺尖，因該處氧分壓高利於好氧菌生長。",[25,28,30,32,34],{"term":26,"count":27},"岡氏複合體",2,{"term":29,"count":27},"結核桿菌",{"term":31,"count":27},"乾酪樣肉芽腫",{"term":33,"count":11},"原發性肺結核",{"term":35,"count":11},"肺門淋巴結",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-036","肛門痔瘡（Hemorrhoid）的病理機轉與下列那個情況不同？",36,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-108-2-basic-medicine-052","有關 H 1 組織胺受體拮抗藥物（anti-histamine）的治療用途，下列何者錯誤？",52,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-basic-medicine-066","有關以念珠菌呈色培養基（CHROMagar Candida）做鑑別培養上的敘述何者錯誤？",66,109,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-024","下列何種激素最可能造成血管平滑肌的收縮？",24,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-1-basic-medicine-018","下列有關敗血性休克的敘述，何者最不可能發生？",18,112,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-113-2-basic-medicine-012","活化副交感神經（parasympathetic nervous system），將會降低心跳速率，此作用主要媒介的受體為：",12,113,"2026-09-04",1788510708395]