[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-2-精神科與社區衛生護理學-045","nurse-109-2-psychiatric-community-045",109,2,45,"關於登革熱之描述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"登革病毒有四種血清型別，每一型都具有感染致病的能力","治療登革熱沒有特效藥物，以症狀治療為主","先後感染同型別之登革病毒，會有更高機率導致較嚴重的症狀","對於疑似個案可使用登革熱 NS1 抗原快速篩檢","C",null,[],"本題考點在登革熱的病毒特性與免疫致病機轉，屬選出錯誤敘述題。C 敘述「先後感染同型別之登革病毒會有更高機率導致較嚴重症狀」為錯誤，正確應是先後感染「不同」血清型時，因抗體依賴增強作用（ADE）而提高重症與登革出血熱的風險，故選 C。A 正確，登革病毒有四種血清型，每一型皆具感染致病力。B 正確，登革熱目前無特效抗病毒藥，以支持性的症狀治療為主。D 正確，疑似個案可用 NS1 抗原快速篩檢於早期輔助診斷。因此四者中唯 C 把「不同型」誤植為「同型」，違反 ADE 機轉，為錯誤敘述。","重症關鍵在抗體依賴增強作用（ADE）：初次感染產生的抗體對第二種血清型無法中和，反而幫助病毒進入細胞，故「二次、異型」感染最危險，可用此口訣記憶。這也解釋為何登革疫苗須謹慎評估既往感染狀態。可連結血清型交叉反應、登革出血熱與登革休克症候群、以及病媒斑蚊防治延伸複習。",[24,27,30,32],{"term":25,"count":26},"登革熱",3,{"term":28,"count":29},"抗體依賴增強作用",1,{"term":31,"count":29},"血清型",{"term":33,"count":29},"NS1 抗原快篩",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-046","長期照顧十年計畫 2.0 中預防失能的服務，包括下列那些項目？①口腔保健 ②認知促進 ③膳食營養 ④職業訓練",46,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-psychiatric-community-062","當地球臭氧層被破壞時，最主要的危害為何？",62,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-076","有關長期照顧十年計畫 2.0 之敘述，下列何者最不適當？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-psychiatric-community-034","預防心理健康問題的發生，是屬於精神衛生預防概念的那一級工作？",34,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-1-psychiatric-community-028","有關疾病發生率的敘述，下列何者最適當？",28,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-022","有關社區心理衛生中心的敘述，下列何者正確？",22,114,"2026-09-04",1788510718246]