[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":68},"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-068","nurse-108-2-basic-medicine-068",108,2,68,"有關奇異變形桿菌（Proteus mirabilis）之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"是造成由食物引起之腹瀉的重要病菌","經常造成尿道感染","特性為產生大量的尿素酶","為革蘭氏陰性菌","A",null,[],"本題考點為奇異變形桿菌（Proteus mirabilis）的臨床特性。依微生物學，Proteus 為革蘭氏陰性桿菌，具高度活動力與強大尿素酶，是泌尿道感染（特別是導尿相關與結石形成）的重要致病菌，而非引起食物性腹瀉的主要病菌，故 A 為錯誤，選 A。（B）常造成尿道感染，正確。（C）產生大量尿素酶分解尿素生成氨、使尿液鹼化，正確。（D）為革蘭氏陰性菌，正確。","Proteus 的尿素酶是致病關鍵：分解尿素→氨→尿液鹼化→磷酸銨鎂（struvite）結石形成，故與感染性尿路結石密切相關；其在培養基上呈現『swarming（成群蔓延）』現象亦為辨識特徵。食物性腹瀉的常見元凶另有 Salmonella、Campylobacter、金黃色葡萄球菌腸毒素等，與 Proteus 的泌尿道傾向分屬不同系統。記憶：Proteus＝尿素酶＋泌尿道＋鹼性尿石，一組串記即可判 A 的『食物腹瀉』為錯置。",[25,28,31,33,35],{"term":26,"count":27},"革蘭氏陰性菌",6,{"term":29,"count":30},"奇異變形桿菌",1,{"term":32,"count":30},"尿素酶",{"term":34,"count":30},"泌尿道感染",{"term":36,"count":30},"感染性結石(struvite)",[38,42,47,52,57,63],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-108-2-basic-medicine-069","對於臨床症狀尚不明顯的布魯氏桿菌症（brucellosis），通常是以下列何種檢測來鑑定？",69,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-109-2-basic-medicine-005","下列有關胸膜的敘述，何者錯誤？",5,109,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-110-1-basic-medicine-019","心肌細胞興奮時會增加細胞質中鈣離子的濃度，下列敘述何者正確？",19,110,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-basic-medicine-057","下列有關 aspirin 的作用中，何者所需要的劑量最高？",57,111,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-112-3-basic-medicine-031","下列何種藥物不適合用來治療青光眼？",31,112,3,{"webId":64,"stem":65,"number":66,"year":67,"session":30},"nurse-114-1-basic-medicine-025","下列何種血管炎會造成主動脈（aorta）及其主要分支的發炎狹窄，可能導致上肢摸不到脈搏，因而又稱為無脈症（pulseless disease）？",25,114,"2026-09-04",1788510705393]