[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-079","nurse-110-2-basic-medicine-079",110,2,79,"有關庫賈氏病（Creutzfeldt-Jakob disease, CJD）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"大部分患者曾暴露到牛海綿狀腦病（bovin spongiform encephalopathy）致病原","為 prion 蛋白所引起","目前並無特殊療法可以延緩疾病的進程，以支持性治療為主","無法利用血液檢驗（serologic tests）檢出","A",null,[],"本題考點為庫賈氏病（Creutzfeldt-Jakob disease, CJD）的流行病學與特性，屬選錯誤題。考點在於辨識絕大多數 CJD 屬偶發型（sporadic），並非大部分患者都曾暴露於牛海綿狀腦病（狂牛症）致病原，僅少數變異型 vCJD 才與之相關，故 A 敘述錯誤，選 A。B 由具感染性的異常 prion 蛋白引起，正確；C 目前無延緩病程的特殊療法、以支持性照護為主，正確；D 因非傳統病原，一般血清學檢驗難以檢出，亦屬正確描述。","CJD 依成因分：偶發型（約八成以上，機轉不明的自發性 prion 錯誤折疊）、遺傳型（PRNP 基因突變）、醫源型（污染器械、硬腦膜或生長激素）與變異型 vCJD（與攝食狂牛症牛肉相關）。prion 是無核酸的錯誤折疊蛋白，可誘導正常 PrP 轉為病態構型，耐一般消毒與高溫，故器械處理需特殊流程。臨床以快速進行的失智、肌陣攣為特徵。記憶法：CJD 多屬「偶發」，狂牛連結只限少數 vCJD。可連結概念：prion 傳播、PrP 構型轉換、腦部海綿狀變性病理。",[25,28,30,32,34],{"term":26,"count":27},"庫賈氏病 CJD",1,{"term":29,"count":27},"偶發型為主",{"term":31,"count":27},"prion 蛋白",{"term":33,"count":27},"變異型 vCJD 與狂牛症",{"term":35,"count":27},"支持性治療",[37,41,46,51,57,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-basic-medicine-080","下列何種寄生蟲病診斷時不需要檢查糞便檢體？",80,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-111-2-basic-medicine-016","河豚毒素（tetrodotoxin）對神經細胞最主要的影響為何？",16,111,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-112-2-basic-medicine-010","軟腦膜（pia mater）在脊髓兩側伸出一韌帶附著到硬腦膜（dura mater），此韌帶為：",10,112,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-113-3-basic-medicine-008","下列有關肝小葉之敘述何者錯誤？",8,113,3,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-115-1-basic-medicine-012","下列何者不具上皮組織？",12,115,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-026","迷走神經末梢分泌之乙醯膽鹼（acetylcholine）可以使心跳速率減慢，其原因為促使心臟節律性細胞（pacemaker cell）：",26,106,"2026-09-04",1788510728010]