[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"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-110-2-基礎醫學-068","nurse-110-2-basic-medicine-068",110,2,68,"婦女經期衛生棉條不潔，引起之毒性休克症候群（toxic shock syndrome），為下列何種細菌產生之毒素所引起的？",{"A":15,"B":16,"C":17,"D":18},"腦膜炎雙球菌（Neisseriae menigitidis）","金黃色葡萄球菌（Staphylococcus aureus）","A 族鏈球菌（group A Streptococcus）","淋病雙球菌（Neisseriae gonorrhoeae）","B",null,[],"本題考點為毒性休克症候群（toxic shock syndrome, TSS）的致病菌與毒素。考點在於辨識金黃色葡萄球菌所分泌的毒素 TSST-1 作為超級抗原，非特異性大量活化 T 細胞、引發細胞激素風暴而造成休克，經典情境即衛生棉條使用不當，故選 B。A 腦膜炎雙球菌造成流腦與敗血症但非本毒素；C A 族鏈球菌雖也可引起鏈球菌性 TSS（毒素為 SPE），但棉條相關古典型 TSS 以金黃色葡萄球菌為主；D 淋病雙球菌引起淋病，與 TSS 無關。","TSST-1 屬超級抗原（superantigen），跳過正常抗原呈現，直接橋接 MHC II 與 T 細胞受體的 Vβ 區，使大量 T 細胞非特異活化並釋出 IL-2、TNF、IFN-γ 等，導致高燒、低血壓、瀰漫性紅疹與多器官受損、脫皮。棉條的高吸收與滯留提供菌體增殖與產毒環境。記憶法：棉條＋脫皮性紅疹＋休克＝金黃色葡萄球菌 TSST-1。可連結概念：超級抗原機轉、鏈球菌 SPE 與壞死性筋膜炎、外毒素分類。",[25,28,30,32,35],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":11},"毒性休克症候群",{"term":31,"count":11},"超級抗原",{"term":33,"count":34},"TSST-1",1,{"term":36,"count":34},"細胞激素風暴",[38,42,47,52,57,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-2-basic-medicine-069","主要抑制麥角固醇（ergosterol）合成有關之抗真菌藥物為何？",69,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-111-2-basic-medicine-005","下列何者傳送頸動脈竇受器所感受血壓改變的訊息？",5,111,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-112-1-basic-medicine-049","下列對於變性普利昂蛋白（prion）之敘述，何者錯誤？",49,112,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-113-2-basic-medicine-047","有關恙蟎，下列敘述何者正確？",47,113,{"webId":58,"stem":59,"number":34,"year":60,"session":34},"nurse-115-1-basic-medicine-001","下列何種蛋白質屬於初級主動運輸子（active transporter）？",115,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-106-2-basic-medicine-015","負責調節眼球晶狀體曲度的神經是：",15,106,"2026-09-04",1788510727906]