[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-109-1-基礎醫學-072","nurse-109-1-basic-medicine-072",109,1,72,"下列有關中華肝吸蟲（Clonorchis sinensis）之敘述，何者正確？",{"A":15,"B":16,"C":17,"D":18},"臺灣目前已沒有感染病例","主要是吃入受感染未煮熟鯉科淡水魚而感染","目前仍然沒有適當驅蟲藥可治療","感染者一定會在肝臟、膽管引起嚴重病變","B",null,[],"本題考點是中華肝吸蟲（Clonorchis sinensis）的感染與治療。人因生食或未煮熟的受感染鯉科淡水魚（如草魚），吞入囊蚴而感染，故 B 正確。A 錯，台灣仍有零星病例，並未完全根除。C 錯，臨床已有有效驅蟲藥 praziquantel 可治療。D 錯，感染程度視蟲負荷與時間而定，輕度感染者未必引起嚴重肝膽病變，並非「一定」發生嚴重病變。","中華肝吸蟲生活史：蟲卵入水→第一中間宿主淡水螺→第二中間宿主鯉科淡水魚（囊蚴）→人生食魚肉感染，成蟲寄生於膽管。長期重度感染與膽管炎、膽結石乃至膽管癌（cholangiocarcinoma）相關，但取決於蟲量與病程。治療首選 praziquantel。預防核心是「魚肉徹底煮熟」。記憶：肝吸蟲＝生食淡水魚；血吸蟲＝接觸疫水經皮，兩者感染途徑勿混。",[25,27,29,31],{"term":26,"count":11},"中華肝吸蟲 Clonorchis sinensis",{"term":28,"count":11},"生食鯉科淡水魚感染",{"term":30,"count":11},"praziquantel 驅蟲治療",{"term":32,"count":11},"膽管病變與膽管癌",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-1-basic-medicine-073","下列何者不是病毒外套膜（envelope）的特性？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-110-1-basic-medicine-009","間盤（intercalated disc）為下列何者之特殊結構？",9,110,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-110-2-basic-medicine-023","褪黑激素（melatonin）主要由腦部那一區域的腺體所分泌？",23,2,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-1-basic-medicine-011","下列何者屬於胜肽類神經傳導物質？",11,112,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-113-2-basic-medicine-015","下列何種激素最主要透過肌醇三磷酸（IP 3 ）和鈣離子（Ca 2+ ）執行其生理功能？",15,113,{"webId":59,"stem":60,"number":41,"year":61,"session":62},"nurse-114-3-basic-medicine-009","下列那個器官同時接受腸繫膜上動脈與腸繫膜下動脈的血液供應？",114,3,"2026-09-04",1788510711537]