[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":26},"nurse-108-1-基礎醫學-068","nurse-108-1-basic-medicine-068",108,1,68,"下列何者最常引起新生兒的細菌性腦膜炎？",{"A":15,"B":16,"C":17,"D":18},"奈瑟氏腦膜炎球菌","大腸桿菌","肺炎鏈球菌","結核分枝桿菌","B",null,[],"本題考點在新生兒細菌性腦膜炎的最常見致病菌。依新生兒免疫與產道菌叢特性，出生時經產道獲得的病原最重要；B 型鏈球菌與大腸桿菌為兩大主因，選項中選 B 大腸桿菌（E. coli）。A 奈瑟氏腦膜炎球菌好發於青少年與群聚族群，非新生兒最常見。C 肺炎鏈球菌為嬰幼兒與成人腦膜炎常見菌，但非新生兒首位。D 結核分枝桿菌造成的結核性腦膜炎屬亞急性、非新生兒細菌性腦膜炎的主因，故不選。","細菌性腦膜炎依年齡層記憶：新生兒（\u003C1 月）= B 型鏈球菌、大腸桿菌、Listeria；嬰幼兒至成人 = 肺炎鏈球菌、腦膜炎雙球菌；老年與免疫低下需再考量 Listeria。新生兒因血腦障壁與免疫尚未成熟，且經產道接觸帶菌母體而易感染大腸桿菌（K1 莢膜株致病力強）與 GBS。臨床新生兒腦膜炎症狀不典型，常僅表現食慾差、體溫不穩、活力差與囟門膨出，須高度警覺。",[25,27,29,31,33],{"term":16,"count":26},2,{"term":28,"count":11},"新生兒細菌性腦膜炎",{"term":30,"count":11},"B 型鏈球菌",{"term":32,"count":11},"年齡層致病菌",{"term":34,"count":11},"產道感染",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-basic-medicine-069","披衣菌（Chlamydia spp.）有兩種型態，其中何者具感染力？",69,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-109-1-basic-medicine-005","下列那一條動脈的分枝會造成男性陰莖海綿體充血勃起？",5,109,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-109-2-basic-medicine-019","下列那個腦區受損會造成表達性的失語症？",19,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-110-2-basic-medicine-057","下列何者藥物具有強力止吐作用？",57,110,{"webId":55,"stem":56,"number":11,"year":57,"session":26},"nurse-112-2-basic-medicine-001","總膽管是由那兩者匯聚形成？",112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-2-basic-medicine-045","有關病毒的散播，下列敘述何者錯誤？",45,113,"2026-09-04",1788510708670]