[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-109-1-基礎醫學-038","nurse-109-1-basic-medicine-038",109,1,38,"狂牛病是何種病原感染所引起？",{"A":15,"B":16,"C":17,"D":18},"普利子蛋白（prion）","病毒（virus）","原蟲（protozoa）","披衣菌（chlamydiae）","A",null,[],"本題考點是狂牛病的病原本質。狂牛病（牛海綿狀腦病）是由變性的普利子蛋白（prion）引起，普利子是不含核酸的異常摺疊蛋白，會誘導正常蛋白錯誤摺疊而堆積，造成海綿狀腦病變，故選 A。(B) 病毒含核酸並具傳染顆粒結構，與普利子不含核酸的特性不符。(C) 原蟲是真核單細胞寄生生物，非狂牛病病原。(D) 披衣菌是專性細胞內寄生的細菌，亦非狂牛病病原。故狂牛病由普利子蛋白引起，答案為 A。","普利子疾病（prion disease／傳染性海綿狀腦病）：致病關鍵是正常 PrP^C 蛋白轉為抗蛋白酶的 PrP^Sc 構形，累積成澱粉樣斑與神經元空泡（海綿狀）。特點：無核酸、常規消毒（高壓滅菌、甲醛）難完全去活化、潛伏期長、無發炎反應、必致命。人類對應疾病：庫賈氏病（CJD）、變異型 CJD（與食用染病牛肉相關）、庫魯病（Kuru）。記憶：「蛋白也會傳染—普利子是唯一不含核酸的病原」，是本題辨識重點。",[25,28,30,32,34],{"term":26,"count":27},"海綿狀腦病",2,{"term":29,"count":11},"狂牛病",{"term":31,"count":11},"普利子蛋白prion",{"term":33,"count":11},"蛋白質異常摺疊",{"term":35,"count":11},"庫賈氏病CJD",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-basic-medicine-039","下列何者最不可能引起左心衰竭（left heart failure）？",39,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-109-2-basic-medicine-055","下列何種抗癲癇藥物也可用於治療帶狀疱疹後神經痛？",55,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-069","包氏螺旋體（Borrelia）感染除了萊姆病（Lyme disease）外，主要造成何種人類疾病？",69,110,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-111-2-basic-medicine-027","B 細胞濾泡性淋巴瘤（follicular lymphoma）常見下列何種染色體異常？",27,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-031","在治療慢性阻塞性肺病（COPD）的藥物中，下列何者可抑制乙醯膽鹼（ACh）受體，以減少黏液之分泌？",31,113,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-114-2-basic-medicine-025","末期大腸直腸癌具有遠端器官的腫瘤轉移。下列何者是大腸直腸癌最常發生轉移的器官？",25,114,"2026-09-04",1788510711242]