[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-110-1-基礎醫學-077","nurse-110-1-basic-medicine-077",110,1,77,"有關梅毒螺旋菌（Treponema pallidum）的感染，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"第一期梅毒出現硬性下疳（hard chancre），感染後約 10～90 天會出現無痛性潰瘍","第二期梅毒疹，在全身皮膚及黏膜出現紅疹（rash）","第三期肉芽腫病變亦稱為梅毒腫（gummas），只出現在生殖器官","細菌可經由子宮感染引起先天性梅毒，導致胎兒嚴重疾病","C",null,[],"本題考點是梅毒各分期的臨床特徵，且題目問「錯誤」者。依病程，第三期的梅毒腫(gummas)為肉芽腫病變，可侵犯皮膚、骨骼、肝臟及心血管等全身組織，並非只出現在生殖器官，故C敘述錯誤、即為答案。A所述第一期無痛硬性下疳、B所述第二期全身梅毒疹、D所述經胎盤感染引起先天性梅毒，皆為正確描述。故錯誤者為C，答案為C。","分期記憶：第一期硬性下疳(無痛、感染後約3週)；第二期全身皮膚黏膜疹、扁平濕疣，傳染性最強；潛伏期無症狀；第三期(晚期)出現梅毒腫、心血管梅毒(主動脈炎)與神經性梅毒。梅毒腫是遲發性過敏引起的肉芽腫，可散布全身而非侷限生殖器，此即本題陷阱所在。診斷倚VDRL\u002FRPR篩檢與TPHA確認。",[25,28,30,32,34],{"term":26,"count":27},"梅毒分期",3,{"term":29,"count":11},"硬性下疳",{"term":31,"count":11},"梅毒腫gummas",{"term":33,"count":11},"先天性梅毒",{"term":35,"count":11},"肉芽腫病變",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-1-basic-medicine-078","下列何種特性不是白色念珠菌（Candida albicans）之主要致病因子？",78,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-111-1-basic-medicine-014","下列何者會發出滋養肺臟的支氣管動脈？",14,111,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-111-2-basic-medicine-028","關於 A 型肝炎（hepatitis A）的敘述，下列何者正確？",28,2,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-1-basic-medicine-026","缺鐵性貧血（iron deficiency anemia）的紅血球，其形態有何特徵？",26,113,{"webId":57,"stem":58,"number":59,"year":60,"session":50},"nurse-114-2-basic-medicine-030","痛風為尿酸鈉結晶沉積於關節或附近組織造成發炎反應，關於痛風的臨床表現下列何者正確？",30,114,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-106-1-basic-medicine-024","下列何時期，血液中雌激素與黃體素濃度接近懷孕初期之濃度？",24,106,"2026-09-04",1788510719822]