[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-038":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-038","nurse-111-1-basic-medicine-038",111,1,38,"下列何種肝炎病毒，只能在 B 型肝炎病毒存在的情況下共同感染？",{"A":15,"B":16,"C":17,"D":18},"A 型","C 型","D 型","E 型","C",null,[],"本題考點在於哪型肝炎病毒為缺陷病毒,須依附 B 型肝炎病毒才能感染。D 型肝炎病毒(HDV)是不完整的缺陷病毒,缺乏自身外套膜蛋白,必須借用 B 型肝炎病毒的表面抗原(HBsAg)作為外殼才能組裝與感染細胞,故只能在 HBV 存在下共同或重疊感染,選 C。A 型與 E 型經糞口傳染,可獨立感染,多為急性自限。B 型可獨立感染並慢性化,是 HDV 依附的對象而非依附者。唯 D 型須依賴 HBV,故正解為 C。","D 型肝炎的兩種感染模式:同時感染(coinfection,HBV 與 HDV 一起入侵,多為急性,清除機率較高)與重疊感染(superinfection,慢性 B 肝患者再染 HDV,易致猛爆性肝炎或快速肝硬化,預後較差)。因 HDV 借用 HBsAg 為外殼,施打 B 肝疫苗、預防 HBV 感染即可同時預防 HDV,是重要防治延伸。肝炎病毒傳染途徑對照:A、E 型走糞口(可致急性、E 型孕婦危險);B、C、D 型走血液體液(可慢性化,C 型慢性化率最高)。掌握「D 型寄生於 B 型」即為核心。",[25,28,30,32],{"term":26,"count":27},"缺陷病毒",2,{"term":29,"count":11},"D 型肝炎病毒 HDV",{"term":31,"count":11},"B 型肝炎表面抗原 HBsAg",{"term":33,"count":11},"共同\u002F重疊感染",[35,39,44,48,54,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-039","下列那一種腎臟腫瘤主要常見於 10 歲以下的小孩？",39,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-005","在皮膚的構造，與壓覺有關的巴齊尼小體（Pacinian corpuscle）主要分布於何處？",5,112,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-112-2-basic-medicine-049","下列有關輪狀病毒（Rotavirus）的敘述，何者錯誤？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-basic-medicine-047","流行性感冒病毒主要藉由其表面的何種分子蛋白附著於細胞表面？",47,113,3,{"webId":55,"stem":56,"number":11,"year":57,"session":27},"nurse-115-2-basic-medicine-001","下列激素何者是藉由下丘腦-垂體徑（hypothalamic-hypophyseal tract）來運送？",115,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-106-2-basic-medicine-065","主要辨識革蘭氏陰性菌的脂多糖（lipopolysaccharide）的細胞受體是那一種？",65,106,"2026-09-04",1788510733017]