[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-111-1-基礎醫學-035","nurse-111-1-basic-medicine-035",111,1,35,"帶狀疱疹病毒（Varicella-Zoster virus）在初次感染人體後，會潛伏在人體何種細胞中？",{"A":15,"B":16,"C":17,"D":18},"背根神經節的神經元細胞","骨髓中的造血幹細胞","皮膚真皮血管的內皮細胞","皮膚上皮的基底層細胞","A",null,[],"本題考點在於帶狀疱疹病毒(VZV)初次感染後的潛伏部位。VZV 初次感染引起水痘後,病毒沿感覺神經逆行潛伏於背根神經節(及腦神經節)的神經元內,日後免疫力下降時再活化,沿神經節支配的皮節分布爆發帶狀疱疹,故選 A。B 骨髓造血幹細胞非其潛伏處。C 真皮血管內皮細胞非潛伏部位。D 皮膚基底層細胞是病毒複製、造成皮疹的部位,但並非長期潛伏之處。VZV 屬疱疹病毒科,以神經節潛伏為特徵,故正解為 A。","疱疹病毒共通特性是「終生潛伏、伺機再活化」,但潛伏部位各異:VZV 與單純疱疹病毒(HSV-1\u002F2)潛伏於感覺神經節(HSV-1 三叉神經節、HSV-2 薦神經節、VZV 背根神經節);EB 病毒潛伏於 B 淋巴球;巨細胞病毒(CMV)潛伏於單核球\u002F骨髓前驅細胞。帶狀疱疹沿單一皮節呈帶狀分布、不越過身體中線,正因病毒侷限於單一神經節。免疫低下、年長、壓力時易再活化,可併發疱疹後神經痛。疫苗(水痘疫苗、帶狀疱疹疫苗)可降低發病與併發症,屬臨床延伸。",[25,27,29,31],{"term":26,"count":11},"帶狀疱疹病毒 VZV",{"term":28,"count":11},"背根神經節潛伏",{"term":30,"count":11},"疱疹病毒潛伏再活化",{"term":32,"count":11},"皮節分布",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-036","社區型急性肺炎（community-acquired acute pneumonia）最常由下列何種微生物的感染所引起？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-1-basic-medicine-002","脊柱側面觀的外形敘述，下列何者正確？",2,112,{"webId":44,"stem":45,"number":46,"year":42,"session":41},"nurse-112-2-basic-medicine-046","下列針對炭疽桿菌（Bacillus anthracis）的敘述，何者正確？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-basic-medicine-044","下列何種並非具致病性葡萄球菌之特色？",44,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-115-1-basic-medicine-048","下列何種 DNA 病毒的感染，最不會增加病人得到癌症的機會？",48,115,{"webId":59,"stem":60,"number":61,"year":62,"session":41},"nurse-106-2-basic-medicine-062","使用三合一療法（triple therapy）治療幽門桿菌引起的胃潰瘍，不包含下列何種藥物？",62,106,"2026-09-04",1788510732982]