[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-075","nurse-110-2-basic-medicine-075",110,2,75,"關於萊姆病（Lyme disease）及其病原體的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"由包氏疏螺旋體（Borrelia burgdorferi）感染所引起","主要是人與人之間藉由體蝨（body louse）互相傳染","典型的症狀是病媒叮咬皮膚，傷口出現遊走性紅斑（erythema migrans）","若未適當治療可能導致神經症狀及關節炎","B",null,[],"本題考點為萊姆病（Lyme disease）的病原與傳播途徑，屬選錯誤題。考點在於辨識萊姆病由包氏疏螺旋體（Borrelia burgdorferi）經硬蜱（tick，如鹿蜱）叮咬傳播，並非人與人之間藉體蝨互相傳染，故 B 敘述錯誤，選 B。A 病原為 B. burgdorferi，正確；C 典型早期表現為叮咬處的遊走性紅斑（erythema migrans，靶心狀紅疹），正確；D 未適當治療可進展為神經症狀與關節炎等後期表現，亦屬正確描述。","萊姆病是病媒（蜱）傳播的螺旋體感染，非人傳人；分期具特徵：早期局部的遊走性紅斑，早期播散期的多發紅斑、顏面神經麻痺與心臟傳導阻滯，晚期的關節炎與神經病變。治療以 doxycycline 為主。須與「體蝨傳播」的疾病區分：流行性斑疹傷寒（Rickettsia prowazekii）、回歸熱（Borrelia recurrentis）、戰壕熱才是體蝨相關，正是本題設陷處。記憶法：Lyme＝蜱咬＋靶心紅斑。可連結概念：病媒傳染分類、螺旋體疾病、遊走性紅斑鑑別。",[25,28,30,33,35],{"term":26,"count":27},"萊姆病",3,{"term":29,"count":11},"遊走性紅斑",{"term":31,"count":32},"Borrelia burgdorferi",1,{"term":34,"count":32},"硬蜱傳播",{"term":36,"count":32},"體蝨傳染病鑑別",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-2-basic-medicine-076","關於新型隱球菌（Cryptococcus neoformans）的敘述，下列何者錯誤？",76,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-111-2-basic-medicine-012","當小偷被警察追著跑時，下列何者不是小偷的交感神經調控之生理作用？",12,111,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-112-2-basic-medicine-006","下列器官的血液供應何者不是源自腹腔動脈幹？",6,112,{"webId":53,"stem":54,"number":55,"year":56,"session":27},"nurse-113-3-basic-medicine-004","DNA 雙股結構中的腺嘌呤（adenine）主要與下列何者配對？",4,113,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-115-1-basic-medicine-008","下列何種激素最可能造成孕婦發生妊娠糖尿病？",8,115,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-022","某人出現咀嚼困難、臉頰喪失觸覺等症狀。此人最可能受損的腦神經是：",22,106,"2026-09-04",1788510727966]