[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-076":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-076","nurse-108-2-basic-medicine-076",108,2,76,"關於梭狀芽孢桿菌（Clostridium ）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"治療困難梭狀桿菌（ Clostridium difficile ）造成的腸炎，目前最有效的方式為持續使用廣效性抗生素","肉毒梭狀桿菌（ Clostridium botulinum ）造成的食物中毒，可以從嬰兒患者的糞便分離出細菌以確診","預防傷口被破傷風梭狀桿菌（Clostridium tetani ）感染，必須施打中和性球蛋白及疫苗，以免發生破傷風","從產氣梭狀桿菌（Clostridium perfringens ）造成的傷口感染檢體中，觀察不到白血球的存在","A",null,[],"本題考點為梭狀芽孢桿菌屬（Clostridium）的致病與處置概念。依感染治療原則，困難梭狀桿菌（C. difficile）腸炎多由『廣效性抗生素破壞正常腸道菌叢』所誘發，正確處置是停用該類抗生素並改以 metronidazole 或口服 vancomycin，持續使用廣效抗生素只會惡化，故 A 為錯誤敘述，選 A。（B）肉毒桿菌食物中毒可由嬰兒患者糞便分離細菌確診，正確。（C）預防破傷風須併用破傷風免疫球蛋白（被動）與類毒素疫苗（主動），正確。（D）產氣莢膜桿菌感染組織產生毒素破壞白血球，檢體中可觀察不到白血球，正確。","Clostridium 為革蘭氏陽性、產芽孢的厭氧菌。C. difficile 腸炎是典型『抗生素相關性腹瀉』與偽膜性結腸炎元凶，核心矛盾在於：致病因是抗生素、解方卻也是特定抗生素（窄效的 vancomycin\u002Fmetronidazole）加停用廣效藥。記憶破題：看到『繼續用廣效抗生素治 C. difficile』即為方向性錯誤，因為這正是誘發它的原因，屬火上加油式陷阱。",[25,28,30,32,34],{"term":26,"count":27},"困難梭狀桿菌腸炎",1,{"term":29,"count":27},"抗生素相關性腹瀉",{"term":31,"count":27},"正常菌叢破壞",{"term":33,"count":27},"破傷風免疫球蛋白與類毒素",{"term":35,"count":27},"產芽孢厭氧菌",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-2-basic-medicine-077","下列關於感染結核分枝桿菌（Mycobacterium tuberculosis）的敘述，何者正確？",77,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-109-2-basic-medicine-013","膽汁之製造及注入消化道的位置，下列何者正確？",13,109,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-basic-medicine-027","體抑素（somatostatin）最主要抑制下列何種激素的分泌？",27,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-basic-medicine-065","在淋巴結的濾泡（follicle）所聚集的細胞，會產生什麼特殊蛋白質？",65,111,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-112-3-basic-medicine-039","下列化療藥物中，何者主要使用於腦瘤治療？",39,112,3,{"webId":63,"stem":64,"number":65,"year":66,"session":27},"nurse-114-1-basic-medicine-033","使用局部麻醉劑時常與腎上腺素合用，其目的為何？",33,114,"2026-09-04",1788510705469]