[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-073","nurse-111-1-basic-medicine-073",111,1,73,"關於萊姆病（Lyme disease）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"被節肢動物叮咬後引發","患者出現全身性丘疹的臨床症狀","若未依照程序治療，患者有可能引發關節炎","血清學測試可做為檢驗依據","B",null,[],"本題考點在於萊姆病的典型病程與臨床表現。萊姆病由伯氏疏螺旋體（Borrelia burgdorferi）經硬蜱（節肢動物）叮咬傳播，選項A正確。其特徵性早期皮膚表現是「遊走性紅斑（erythema migrans）」，呈環狀、如牛眼樣由叮咬處向外擴散，並非全身性丘疹，故B描述錯誤，為本題答案。C正確：若未經足量抗生素療程，可進展至第二、三期，出現關節炎（尤其大關節如膝關節）、神經與心臟侵犯。D正確：臨床診斷可輔以血清學抗體檢驗（如ELISA初篩加Western blot確認）。因此唯一與典型病理描述不符者為B的「全身性丘疹」。","萊姆病分三期：早期局部（遊走性紅斑）、早期播散（多發紅斑、顏面神經麻痹、房室傳導阻滯）、晚期（Lyme關節炎、神經性慢性表現）。記憶關鍵是牛眼疹（bull's-eye rash）而非瀰漫丘疹。血清學為間接證據，早期抗體可能尚未產生而偽陰性，故需結合流行病學暴露史。可對比同屬蜱媒的落磯山斑疹熱（Rickettsia）才是以斑丘疹表現，兩者常在考題互相干擾。",[25,28,30,33,35],{"term":26,"count":27},"萊姆病",3,{"term":29,"count":27},"血清學診斷",{"term":31,"count":32},"遊走性紅斑",2,{"term":34,"count":11},"伯氏疏螺旋體",{"term":36,"count":11},"蜱媒傳染病",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-111-1-basic-medicine-074","下列關於痘病毒（poxvirus）的敘述，何者錯誤？",74,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-112-1-basic-medicine-040","下列何種成癮性物質是透過血清素受體來產生幻覺？",40,112,{"webId":48,"stem":49,"number":50,"year":46,"session":27},"nurse-112-3-basic-medicine-034","下列有關 Propranolol 特性和作用之敘述，何者錯誤？",34,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-114-1-basic-medicine-032","下列藥物中，何者對於改善酒精成癮治療沒有幫助？",32,114,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-115-2-basic-medicine-036","下列何種藥物可作為高血壓第一線單一藥物初始治療之選擇？",36,115,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-107-1-basic-medicine-020","下列何種情況會使神經元產生去極化（depolarization）現象？",20,107,"2026-09-04",1788510733344]