[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-110-1-基礎醫學-067","nurse-110-1-basic-medicine-067",110,1,67,"藍氏（Lancefield）血清學分類法，主要是依溶血性鏈球菌之何種構造的抗原不同加以分類？",{"A":15,"B":16,"C":17,"D":18},"細胞壁","細胞膜","細胞質","細胞核","A",null,[],"本題考點是溶血性鏈球菌的血清學分群依據。依Lancefield分類，是以細胞壁上的碳水化合物抗原(C多醣)差異，將β溶血性鏈球菌分為A、B、C等群，故選A，例如A群化膿性鏈球菌即據此判定。細胞膜與細胞質皆非分群所用的抗原所在；細菌屬原核生物、根本無真正的細胞核，選項D的「細胞核」構造不成立。故辨識關鍵在細胞壁多醣抗原，答案為A。","延伸：Lancefield分群針對細胞壁C carbohydrate，臨床上A群(Streptococcus pyogenes)可致咽炎、猩紅熱及後續風濕熱、腎絲球腎炎；B群(S. agalactiae)為新生兒敗血症與腦膜炎重要病原，孕婦產前篩檢即針對此群。溶血型(α\u002Fβ\u002Fγ)與Lancefield血清群是兩套不同分類軸，別混淆。",[25,27,29,31,33],{"term":26,"count":11},"Lancefield分類",{"term":28,"count":11},"細胞壁C多醣抗原",{"term":30,"count":11},"β溶血性鏈球菌",{"term":32,"count":11},"A群鏈球菌",{"term":34,"count":11},"血清學分群",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-1-basic-medicine-068","下列何者目前沒有疫苗可以預防？",68,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-111-1-basic-medicine-004","肺臟內進行氣體交換的呼吸膜（respiratory membrane）構造，主要是由那兩種細胞與結締組織共同構成？",4,111,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-111-2-basic-medicine-018","人體內胰島 β 細胞被破壞時，不會產生下列何種反應？",18,2,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-1-basic-medicine-016","下列腎臟構造中，何者最靠近腎門（renal hilum）？",16,113,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-114-2-basic-medicine-020","下列那一種刺激會引起最多的唾液分泌？",20,114,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-106-1-basic-medicine-014","下列那一構造發生腫瘤時，經常會壓迫到顏面神經？",14,106,"2026-09-04",1788510719728]