[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-111-1-基礎醫學-036","nurse-111-1-basic-medicine-036",111,1,36,"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？",{"A":15,"B":16,"C":17,"D":18},"黴漿菌（Mycoplasma）","隱球菌（Cryptococcus）","鏈球菌（Streptococcus）","麴菌（Aspergillus）","C",null,[],"本題考點在於社區型肺炎最常見的致病菌。社區型急性肺炎最常見的病原是肺炎鏈球菌(Streptococcus pneumoniae),屬鏈球菌,故選 C。A 黴漿菌雖是年輕族群「非典型肺炎」常見原因,但整體而言仍非最常見,且題幹要選最常見者。B 隱球菌是伺機性黴菌感染,好發於免疫低下者,非社區型常見病原。D 麴菌亦為伺機性黴菌,常見於免疫缺陷或肺結構異常者,非一般社區肺炎主因。故最常見的正解為 C 鏈球菌。","社區型肺炎(CAP)病原譜:典型菌以肺炎鏈球菌居首,其次流感嗜血桿菌、卡他莫拉菌;非典型菌包括黴漿菌(Mycoplasma,好發青壯年、乾咳、可致冷凝集素)、披衣菌、退伍軍人菌。肺炎鏈球菌為革蘭氏陽性雙球菌,有莢膜是致病與免疫逃避關鍵,肺炎鏈球菌疫苗(PCV、PPSV)即針對莢膜多醣。醫院型肺炎(HAP\u002FVAP)則以革蘭氏陰性桿菌(綠膿桿菌、克雷伯氏菌)與抗藥性金黃色葡萄球菌(MRSA)為主,病原譜與社區型不同,是重要對照。",[25,28,30,32],{"term":26,"count":27},"肺炎鏈球菌",2,{"term":29,"count":27},"非典型肺炎",{"term":31,"count":11},"社區型肺炎 CAP",{"term":33,"count":11},"病原譜",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-037","Heinz 氏小體是一種氧化的血紅素，下列何種溶血性貧血的紅血球內最常見到 Heinz 氏小體？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-003","下列何者屬於顏面表情肌？",3,112,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-112-2-basic-medicine-047","下列關於產氣梭孢桿菌（Clostridium perfringens）的敘述，何者錯誤？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-3-basic-medicine-045","法蘭西氏土倫桿菌（Francisella tularensis）可以在巨噬細胞內存活一段時間的主要原因為何？",45,113,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-115-1-basic-medicine-049","口腔內最常見的真菌感染是由下列何種菌屬引起？",49,115,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-106-2-basic-medicine-063","下列何者是抗生素 quinolones 藥物的作用機轉？",63,106,"2026-09-04",1788510732994]