[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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-079","nurse-110-1-basic-medicine-079",110,1,79,"下列何種酵素與麴菌屬（Aspergillus）之毒性無關？",{"A":15,"B":16,"C":17,"D":18},"彈性蛋白酶","葉酸酶","磷脂酶","過氧化氫酶","B",null,[],"本題考點是麴菌屬(Aspergillus)毒力相關酵素，題目問與其毒性「無關」者。依黴菌學，麴菌藉彈性蛋白酶破壞組織、磷脂酶損傷宿主細胞膜、過氧化氫酶(catalase)分解過氧化氫以抵抗吞噬細胞殺傷，三者皆與致病力有關；葉酸酶則與其毒性無直接關聯，故選B。A彈性蛋白酶、C磷脂酶、D過氧化氫酶皆為麴菌致病相關酵素，唯葉酸酶不屬之，答案為B。","延伸：侵襲性麴菌病常見於免疫低下者，麴菌經血管侵襲(angioinvasion)造成組織梗塞與出血，彈性蛋白酶降解血管彈性蛋白助其侵入，catalase與過氧化氫酶協助抵抗嗜中性球的氧化爆發。葉酸酶並非其公認毒力因子，故為正確答案。臨床診斷可用半乳甘露聚醣(galactomannan)抗原偵測。",[25,27,28,29,30],{"term":26,"count":11},"麴菌屬Aspergillus",{"term":15,"count":11},{"term":17,"count":11},{"term":18,"count":11},{"term":31,"count":11},"毒力因子",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-110-1-basic-medicine-080","下列何種藥物治療蟠尾絲蟲（Onchocerca volvulus）引起的河川盲（river blindness）為首選藥物，而且病人副作用最小？",80,{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-111-1-basic-medicine-016","下列何種神經節主要負責傳遞一般體表感覺訊息？",16,111,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-111-2-basic-medicine-030","Creutzfeldt-Jakob 病會造成大腦皮質及深部灰質的海綿狀變形（spongiform transformation），這種病的病因主要與下列何者有關？",30,2,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-113-1-basic-medicine-028","三陰性（triple negative）乳癌的定義不包含下列何者？",28,113,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-114-2-basic-medicine-032","下列何者不屬於毒蕈鹼拮抗劑（muscarinic antagonist）的臨床適應症？",32,114,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-106-1-basic-medicine-026","胎血循環中，靜脈導管連接臍靜脈與下列何者？",26,106,"2026-09-04",1788510719832]