[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":68},"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-110-1-基礎醫學-034","nurse-110-1-basic-medicine-034",110,1,34,"下列何種感染最容易發生在燒燙傷的病人？",{"A":15,"B":16,"C":17,"D":18},"結核桿菌（Mycobacterium tuberculosis）","大腸桿菌（Escherichia coli）","隱球菌（Cryptococcus）","綠膿桿菌（Pseudomonas aeruginosa）","D",null,[],"本題考點是燒燙傷病人最好發的伺機性感染菌。依燒傷後皮膚屏障破壞、焦痂潮濕且富含滲出液的特性,綠膿桿菌這種嗜濕、耐環境的革蘭氏陰性菌最易在燒傷創面繁殖並引發敗血症,故選 D。考點在於連結菌種特性與宿主環境:A 結核桿菌主要經呼吸道造成慢性肺部感染,與燒傷創面無關;B 大腸桿菌是腸道與泌尿道常見致病菌,並非燒傷傷口的代表菌;C 隱球菌屬伺機性黴菌,好發於細胞免疫低下者(如愛滋),典型侵犯肺與腦膜,而非燒傷創面。","綠膿桿菌之所以是燒傷、呼吸器與導管相關感染的常客,在於它能分泌 exotoxin A、彈性蛋白酶並形成生物膜(biofilm),又對多種抗生素天然抗藥。臨床上燒傷創面出現藍綠色膿液與特殊甜腥味即為其特徵。記憶法:潮濕、免疫弱、有導管三情境就想到綠膿桿菌;隱球菌則綁定「愛滋\u002F免疫低下 + 墨汁染色莢膜」。",[25,28,31,34,36],{"term":26,"count":27},"伺機性感染",7,{"term":29,"count":30},"革蘭氏陰性菌",6,{"term":32,"count":33},"綠膿桿菌",2,{"term":35,"count":11},"燒傷創面感染",{"term":37,"count":11},"生物膜",[39,43,47,52,58,63],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-110-1-basic-medicine-035","堵塞性血栓血管炎（thromboangiitis obliterans）最常侵犯身體何處的血管？",35,{"webId":44,"stem":45,"number":46,"year":10,"session":33},"nurse-110-2-basic-medicine-051","治療糖尿病的用藥中，下列何者的主要作用是刺激胰臟β細胞釋放insulin？",51,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-111-1-basic-medicine-065","在淋巴結的濾泡（follicle）所聚集的細胞，會產生什麼特殊蛋白質？",65,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-basic-medicine-033","下列何種藥物最適合給與初診斷為第二型糖尿病且尚無併發症之病人？",33,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-114-1-basic-medicine-037","下列何種藥物最適合以吸入方式用於緩解急性氣喘（asthma）發作？",37,114,{"webId":64,"stem":65,"number":66,"year":67,"session":33},"nurse-115-2-basic-medicine-031","藥物代謝過程中，經由加入葡萄糖醛酸（glucuronide）、硫酸、醋酸或胺基酸等之接合反應（conjugation reaction），其主要目的為何？",31,115,"2026-09-04",1788510719413]