[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-072","nurse-111-1-basic-medicine-072",111,1,72,"關於肉毒桿菌（Clostridium botulinum ）引發食物中毒的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"不容易從腸道分離出細菌","常因自製醃漬或封裝的罐頭食物被污染造成","病人常因嚴重的發炎反應導致呼吸系統功能降低而死亡","病人康復後對肉毒桿菌仍然不具有免疫能力","C",null,[],"本題考點為肉毒桿菌（Clostridium botulinum）食物中毒的特性，須選錯誤者。肉毒中毒的致死機轉是肉毒桿菌毒素（一種神經毒素）阻斷神經肌肉接合處乙醯膽鹼釋放，造成鬆弛性麻痺，最終因呼吸肌麻痺而死亡，並非『嚴重發炎反應導致呼吸功能降低』，故 C 敘述錯誤，選 C。A 正確，此為外毒素中毒，腸道不易分離出菌。B 正確，常見於自製醃漬、真空封裝或罐頭等厭氧環境被污染。D 正確，毒素量微、致病後不足以引發保護性免疫，康復後仍無免疫力。故 C 方向錯在把麻痺誤為發炎。","機轉重點：肉毒毒素抑制運動神經末梢釋放乙醯膽鹼 → 對稱性下行性鬆弛麻痺（先顱神經：複視、眼瞼下垂、吞嚥困難、口乾，再至呼吸肌），無發燒、意識清楚，與『發炎』無關。嬰兒肉毒桿菌症因蜂蜜中孢子在腸道發芽產毒（故未滿一歲勿餵蜂蜜）。治療：抗毒素＋呼吸支持。對比破傷風毒素則阻斷抑制性神經傳導致僵直性痙攣。記憶：『肉毒＝鬆（弛性麻痺）、破傷風＝緊（僵直）』。",[25,28,30,32],{"term":26,"count":27},"肉毒桿菌",2,{"term":29,"count":11},"肉毒神經毒素",{"term":31,"count":11},"阻斷乙醯膽鹼釋放(鬆弛性麻痺)",{"term":33,"count":11},"厭氧罐頭\u002F醃漬污染",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-073","關於萊姆病（Lyme disease）的敘述，下列何者錯誤？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-1-basic-medicine-039","有關泌乳激素 prolactin 的敘述，下列何者錯誤？",39,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-3-basic-medicine-033","下列何種藥物最適合給與初診斷為第二型糖尿病且尚無併發症之病人？",33,3,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-1-basic-medicine-031","下列何種藥物不能抑制乙醯膽鹼酯酶（acetylcholinesterase）？",31,114,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-2-basic-medicine-035","下列關於 cimetidine 之敘述，何者錯誤？",35,115,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-1-basic-medicine-019","當迷走神經興奮時，對心臟的影響下列何者正確？",19,107,"2026-09-04",1788510733340]