[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-078":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-078","nurse-110-1-basic-medicine-078",110,1,78,"下列何種特性不是白色念珠菌（Candida albicans）之主要致病因子？",{"A":15,"B":16,"C":17,"D":18},"能黏附組織","能合成黑色素","能分泌蛋白酶","能轉換表現型","B",null,[],"本題考點是白色念珠菌的致病因子辨識，題目問「不是」其主要致病因子者。依黴菌學，念珠菌的致病力來自黏附組織、分泌蛋白酶及酵母與菌絲間的型態(表現型)轉換；而合成黑色素是新型隱球菌(Cryptococcus neoformans)的毒力因子，與念珠菌無關，故選B。A黏附、C蛋白酶、D表現型轉換皆為念珠菌真正的致病特性，唯黑色素不屬之，答案為B。","延伸對比：念珠菌毒力核心在雙態性(yeast-hyphae switching)，菌絲型利於侵入組織、酵母型利於散播，並藉黏附素與分泌型天門冬胺酸蛋白酶(SAP)破壞黏膜。黑色素(melanin)則是隱球菌對抗氧化殺傷的關鍵毒力因子，其莢膜與黑色素為考試常考特徵。把「黑色素=隱球菌」建成固定連結即可避開此陷阱。",[25,28,30,32,34],{"term":26,"count":27},"白色念珠菌",4,{"term":29,"count":11},"型態轉換雙態性",{"term":31,"count":11},"分泌型蛋白酶",{"term":33,"count":11},"黏附組織",{"term":35,"count":11},"隱球菌黑色素",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-1-basic-medicine-079","下列何種酵素與麴菌屬（Aspergillus）之毒性無關？",79,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-111-1-basic-medicine-015","中腦內不具有下列何者？",15,111,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-111-2-basic-medicine-029","關於卵巢腫瘤的敘述，下列何者錯誤？",29,2,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-1-basic-medicine-027","下列何種病毒必須有B型肝炎病毒（hepatitis B virus）存在才能感染人體？",27,113,{"webId":57,"stem":58,"number":59,"year":60,"session":50},"nurse-114-2-basic-medicine-031","巨環類抗生素（macrolides）最不易引起下列何種副作用？",31,114,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-106-1-basic-medicine-025","下列何者是生成睪固酮（testosterone）最主要的細胞？",25,106,"2026-09-04",1788510719827]