[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-075","nurse-111-1-basic-medicine-075",111,1,75,"下列那一種細菌與引起非典型肺炎（atypical pneumonia）較為無關？",{"A":15,"B":16,"C":17,"D":18},"李斯特菌（Listeria monocytogenes）","肺炎黴漿菌（Mycoplasma pneumoniae）","退伍軍人桿菌（Legionella pneumophila）","肺炎披衣菌（Chlamydophila pneumoniae）","A",null,[],"本題考點在於非典型肺炎的常見致病菌譜。非典型肺炎指臨床與胸片表現不典型、對β-內醯胺類抗生素反應不佳的肺炎，典型病原為缺乏細胞壁或胞內生長的菌，包括肺炎黴漿菌（B）、退伍軍人桿菌（C）、肺炎披衣菌（D），三者皆為經典非典型肺炎病原。李斯特菌（Listeria monocytogenes，A）主要引起食因性感染、腦膜炎與新生兒\u002F免疫低下者敗血症，與非典型肺炎關聯最小，故A為本題答案。因此與非典型肺炎最無關者即為李斯特菌。","非典型肺炎口訣可記『黴漿、披衣、退伍軍』（Mycoplasma、Chlamydophila、Legionella），加上Q熱立克次體（Coxiella）。這些菌對細胞壁作用的青黴素無效，須用巨環類（macrolides）、四環黴素或喹諾酮。李斯特菌則屬革蘭氏陽性桿菌、可在冷藏溫度生長，好發於孕婦、新生兒、老人與免疫抑制者，臨床焦點在中樞神經與敗血症，故列為干擾選項。",[25,28,30,32,34],{"term":26,"count":27},"非典型肺炎",2,{"term":29,"count":27},"李斯特菌",{"term":31,"count":11},"肺炎黴漿菌",{"term":33,"count":11},"退伍軍人桿菌",{"term":35,"count":11},"肺炎披衣菌",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-1-basic-medicine-076","下列關於黴漿菌（Mycoplasma）的敘述，何者錯誤？",76,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-112-1-basic-medicine-042","補體活化路徑中所產生的膜攻擊複合體（membrane attack complex）包含了下列何者？",42,112,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-112-3-basic-medicine-036","下列藥物中，何者可以拮抗第一型 angiotensin II（AT1）受體，使小動脈及靜脈舒張，達到降血壓的效果？",36,3,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-114-1-basic-medicine-034","下列何種藥物可調節血清素（serotonin）神經傳遞系統，達到抗憂鬱效果？",34,114,{"webId":57,"stem":58,"number":59,"year":60,"session":27},"nurse-115-2-basic-medicine-038","下列何者無法用於治療發炎性腸道疾病（inflammatory bowel disease）？",38,115,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-107-1-basic-medicine-022","終板電位（end-plate potential）屬於下列何種電位？",22,107,"2026-09-04",1788510733358]