[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-080","nurse-109-1-basic-medicine-080",109,1,80,"下列何種細菌因缺乏細胞壁，因此無法使用青黴素來治療？",{"A":15,"B":16,"C":17,"D":18},"破傷風梭孢桿菌（Clostridium tetani）","梅毒螺旋菌（Treponema pallidum）","伯氏疏螺旋體（Borrelia burgdorferi）","肺炎黴漿菌（Mycoplasma pneumoniae）","D",null,[],"本題考點是哪種細菌因缺乏細胞壁而對青黴素無效。青黴素靠抑制細胞壁肽聚醣合成殺菌，肺炎黴漿菌（Mycoplasma pneumoniae）本身沒有細胞壁，作用標靶不存在，故對 β-lactam 天生無效，選 D。A 破傷風梭孢桿菌、B 梅毒螺旋菌、C 伯氏疏螺旋體皆具細胞壁（螺旋體有薄的肽聚醣壁），仍受青黴素影響，其中梅毒與萊姆病治療正以青黴素或相關抗生素為主。","青黴素（β-lactam）作用點是細胞壁合成酵素 PBP，故無細胞壁者無效。Mycoplasma 是已知最小、無細胞壁的細菌，膜含固醇維持穩定，治療須改用抑制蛋白質合成的巨環內酯（azithromycin）或四環黴素、氟喹諾酮。螺旋體雖形態特殊仍有肽聚醣壁：梅毒首選 penicillin G、萊姆病用 doxycycline 或 amoxicillin。記憶：無壁＝黴漿菌＝β-lactam 免疫，改打抑制蛋白質合成的藥。",[25,27,29,31],{"term":26,"count":11},"肺炎黴漿菌無細胞壁",{"term":28,"count":11},"青黴素抑制細胞壁合成",{"term":30,"count":11},"PBP 作用標靶",{"term":32,"count":11},"巨環內酯替代治療",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":11,"year":10,"session":37},"nurse-109-2-basic-medicine-001","左季肋區器官因肋骨刺入而大出血，下列何者最可能受損？",2,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-110-1-basic-medicine-017","何時次級卵母細胞（secondary oocyte）會完成第二次減數分裂？",17,110,{"webId":44,"stem":45,"number":46,"year":42,"session":37},"nurse-110-2-basic-medicine-031","有關腸道中脂解酶（lipase）的敘述，下列何者正確？",31,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-112-1-basic-medicine-019","下列有關心衰竭病程中的代償調節作用之敘述，何者正確？",19,112,{"webId":53,"stem":54,"number":55,"year":56,"session":37},"nurse-113-2-basic-medicine-023","下列何者與即發型過敏反應關聯性最小？",23,113,{"webId":58,"stem":59,"number":41,"year":60,"session":61},"nurse-114-3-basic-medicine-017","關於治療慢性高血壓藥物血管張力素轉換酶（angiotensin-converting enzyme）抑制劑的作用機制，下列敘述何者正確？",114,3,"2026-09-04",1788510711617]