[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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-075","nurse-109-2-basic-medicine-075",109,2,75,"下列關於披衣菌（Chlamydiaceae）的敘述，何者正確？",{"A":15,"B":16,"C":17,"D":18},"此細菌無細胞壁","絕對細胞內寄生的細菌","基體（elementary body）可以進行複製","網狀體（reticulate body）具有雙硫鍵交叉連接（disulfide cross-links）的穩定結構","B",null,[],"本題考點為披衣菌的構造與雙相生活史。依其生物學特性,披衣菌缺乏合成 ATP 的能力,必須寄生於宿主細胞內取得能量,屬絕對細胞內寄生菌,故 B 正確,選 B。A 錯誤,披衣菌具細胞壁,只是缺乏典型的胜肽聚醣(peptidoglycan),並非無細胞壁。C 錯誤,能進行複製的是網狀體(reticulate body),基體(elementary body)為感染型但不分裂。D 錯誤,具雙硫鍵交叉連接、結構堅硬穩定的是基體而非網狀體,此正是基體能在細胞外存活的原因。考點在於辨識基體與網狀體的角色分工。","雙相生活史口訣:基體(EB)=Enter(進入、感染型、代謝不活躍、雙硫鍵鎖住外膜蛋白故堅固);網狀體(RB)=Replicate(複製型、代謝活躍、結構鬆軟)。EB 入胞後轉為 RB 增殖,再凝縮回 EB 釋出。臨床上砂眼披衣菌造成砂眼與泌尿生殖道感染,因無 peptidoglycan,治療用四環黴素、macrolide 而非作用於細胞壁的 β-lactam。",[25,28,30,33],{"term":26,"count":27},"絕對細胞內寄生",4,{"term":29,"count":11},"披衣菌",{"term":31,"count":32},"基體 elementary body",1,{"term":34,"count":32},"網狀體 reticulate body",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-basic-medicine-076","下列關於痲瘋分枝桿菌（Mycobacterium leprae）的敘述，何者正確？",76,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-110-2-basic-medicine-012","睪丸主要負責產生精子，是下列那一構造？",12,110,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-111-1-basic-medicine-026","下列有關人體缺血性休克後造成排尿量下降的主要原因，何者最不可能？",26,111,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-044","下列何種原因會造成器官移植的超急性排斥（hyperacute rejection）？",44,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-048","單股（＋）strand RNA 病毒在宿主細胞內繁殖的特性為何？",48,113,3,{"webId":62,"stem":63,"number":64,"year":65,"session":32},"nurse-115-1-basic-medicine-042","下列何種免疫細胞具有吞噬能力，當病原菌入侵人體組織時，可作為抗菌的第一道防線？",42,115,"2026-09-04",1788510715398]