[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-108-2-基礎醫學-037","nurse-108-2-basic-medicine-037",108,2,37,"下列何種致病原導致的肺炎在常規組織切片之顯微特徵為肺泡內充滿泡沬狀嗜酸性物質？",{"A":15,"B":16,"C":17,"D":18},"肺囊蟲（Pneumocystis jirovecii）","巨細胞病毒（Cytomegalovirus）","新型隱球菌（Cryptococcus neoformans）","白色念珠菌（Candida albicans）","A",null,[],"本題考點在辨識特殊肺炎的組織切片特徵。依病理學，肺囊蟲（Pneumocystis jirovecii）肺炎在常規HE染色下，肺泡腔內充滿泡沫狀、嗜酸性的滲出物，內含病原體與宿主碎屑，為其標誌性表現，好發於愛滋病等免疫低下者，故選A。B巨細胞病毒感染以細胞核與細胞質內的包涵體（貓頭鷹眼細胞）為特徵，非泡沫狀滲出。C新型隱球菌以具莢膜的酵母菌、黏液樣間質為特徵。D白色念珠菌以假菌絲與酵母混合、化膿性反應為主，皆與泡沫狀嗜酸性物質不符。","肺囊蟲診斷需特殊染色現形：GMS（銀染）或toluidine blue可顯示杯狀、壓扁乒乓球外觀的囊體。臨床線索為免疫低下（CD4\u003C200）者出現乾咳、漸進性呼吸困難與明顯低血氧但胸片相對輕微的落差。記憶要訣：『泡沫狀肺泡滲出＋免疫低下』想到PJP；『貓頭鷹眼包涵體』想到CMV。可連結：GMS銀染、CD4計數、TMP-SMX預防與治療、機會性感染。",[25,28,30,32],{"term":26,"count":27},"肺囊蟲肺炎",1,{"term":29,"count":27},"泡沫狀嗜酸性肺泡滲出",{"term":31,"count":27},"免疫低下機會性感染",{"term":33,"count":27},"CMV包涵體對比",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-038","下列何者最常引起兒童腎病症候群（nephrotic syndrome）？",38,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-054","有關 omalizumab 之敘述，下列何者正確？",54,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-068","下列何種細胞可以對病原菌製造特異性抗體的免疫反應？",68,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-026","下列有關人體缺血性休克後造成排尿量下降的主要原因，何者最不可能？",26,111,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-2-basic-medicine-050","下列病毒何者具多片段遺傳物質（segmented genome）？",50,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-basic-medicine-044","下列何種並非具致病性葡萄球菌之特色？",44,113,3,"2026-09-04",1788510705126]