[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-109-2-基礎醫學-069","nurse-109-2-basic-medicine-069",109,2,69,"病人4個月前到非洲旅遊，回國後一星期因發燒39℃，疲倦就醫，為證明其是否感染惡性瘧疾（Plasmodium falciparum），應收集什麼檢體做鏡檢最適當？",{"A":15,"B":16,"C":17,"D":18},"糞便","尿液","血液","痰","C",null,[],"本題考點在於瘧疾的實驗室診斷檢體選擇。考點在於瘧原蟲的寄生部位:惡性瘧疾由Plasmodium falciparum引起,其生活史侵入紅血球內繁殖,故以血液抹片(厚薄血液抹片)鏡檢紅血球內的環狀體與其他形態最為適當,故選C。A的糞便用於腸道寄生蟲或細菌,與瘧原蟲寄生紅血球無關。B的尿液不含紅血球內的瘧原蟲,無法診斷。D的痰用於呼吸道病原(如結核、肺炎),同樣非瘧原蟲存在處。三者皆非瘧原蟲寄生部位,唯血液能直接鏡檢紅血球內蟲體,為正解。","瘧疾診斷金標準是血液抹片(Giemsa染色):厚抹片提高檢出率、薄抹片辨蟲種與計算寄生率;採血宜在發燒週期。P. falciparum特徵是環狀體多、香蕉狀配子母細胞、可見多重感染,是最致命的瘧種。輔助有快速抗原檢測(RDT)與PCR。旅遊史加週期性發燒是關鍵線索。可連結瘧原蟲生活史、Giemsa染色與瘧種鑑別複習。",[25,28,30,32],{"term":26,"count":27},"Plasmodium falciparum",1,{"term":29,"count":27},"血液抹片鏡檢",{"term":31,"count":27},"紅血球內寄生",{"term":33,"count":27},"瘧疾診斷",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-basic-medicine-070","有關抗菌和滅菌處理的敘述，下列何者錯誤？",70,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-110-2-basic-medicine-006","有關消化道肌肉層的敘述，下列何者正確？",6,110,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-111-1-basic-medicine-020","下列關於摸到滾燙的熱水，手臂會迅速的收回的敘述，何者錯誤？",20,111,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-basic-medicine-038","下列何種避孕方式最適合用於年齡大於 35 歲且有抽菸習慣之女性？",38,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-basic-medicine-042","下列那一種補體分子促進肥大細胞（mast cell）分化效果最佳？",42,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-115-1-basic-medicine-036","有關吸入性麻醉劑的最低肺泡濃度（minimum alveolar concentration, MAC）之敘述，下列何者最不適當？",36,115,"2026-09-04",1788510715345]