[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":67},"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-069","nurse-108-2-basic-medicine-069",108,2,69,"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？",{"A":15,"B":16,"C":17,"D":18},"病人體內分離、培養的布魯氏桿菌","病人血液中的布魯氏桿菌特有的抗原","病人血液中的專一性抗體反應","傳統染色與顯微鏡檢查","C",null,[],"本題考點為布魯氏桿菌症（brucellosis）的診斷方法選擇。依感染診斷原則，布魯氏桿菌為細胞內寄生、生長緩慢，且直接培養陽性率低、危險性高，對臨床症狀尚不明顯者，常以偵測病人血中對布魯氏桿菌的專一性抗體（血清學凝集試驗）來鑑定，故選 C。（A）分離培養雖為確診黃金標準但耗時、敏感度受限，不適合早期或症狀不顯者篩檢。（B）血中偵測特有抗原並非常規敏感方法。（D）傳統染色與顯微鏡檢查對此菌辨識力低，非鑑定依據。","布魯氏桿菌屬胞內菌，血液培養需長時間且陽性率有限，故血清學（如標準試管凝集試驗、抗體效價變化）成為早期與亞臨床病例的實用工具。此邏輯與其他隱匿性感染相通：症狀不明顯、病原難培養時，抗體反應是可及性最高的間接證據。對比記憶：確診看『分離到菌』，篩檢／早期看『抗體反應』，本題強調『尚不明顯』即指向血清學抗體檢測。",[25,28,30,32,34],{"term":26,"count":27},"布魯氏桿菌症",1,{"term":29,"count":27},"血清學抗體檢測",{"term":31,"count":27},"胞內菌",{"term":33,"count":27},"凝集試驗",{"term":35,"count":27},"培養敏感度限制",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-2-basic-medicine-070","下列何者為胸腺的功能？",70,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-109-2-basic-medicine-006","消化道的梅氏神經叢（Meissner’s plexus）位於下列何處？",6,109,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-basic-medicine-020","二氧化碳在血液中運送的各種形式，其中比例最高的形式是下列何者？",20,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-basic-medicine-058","血管緊縮素轉換酶抑制劑用於治療充血性心衰竭病人，其作用機轉為何？",58,111,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-112-3-basic-medicine-032","治療慢性阻塞性肺病（chronic obstructive pulmonary disease）的藥物中，下列何者具有抗發炎的作用？",32,112,3,{"webId":63,"stem":64,"number":65,"year":66,"session":27},"nurse-114-1-basic-medicine-026","下列何者是何杰金氏淋巴瘤（Hodgkin lymphoma）的腫瘤細胞？",26,114,"2026-09-04",1788510705409]