[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-111-1-基礎醫學-079","nurse-111-1-basic-medicine-079",111,1,79,"下列有關登革熱病毒的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"只有一種血清型","可藉由埃及斑蚊傳播","病患若發生多次感染，發生重症的機率會增加","嚴重的登革熱病症會有出血與休克","A",null,[],"本題考點在於登革熱病毒的血清型與重症機轉。登革病毒共有四種血清型（DENV-1至DENV-4），故A敘述「只有一種血清型」錯誤，為本題答案。B正確：主要由埃及斑蚊與白線斑蚊傳播。C正確：感染一型後對該型終身免疫，但對其他型僅短暫交叉保護，再次感染異型時因『抗體依賴性增強（ADE）』使重症風險上升。D正確：登革出血熱\u002F登革休克症候群會出現血漿滲漏、出血傾向與休克。故與事實不符者為A。","登革熱四血清型與ADE是核心機轉：先前感染產生的非中和抗體會協助異型病毒經Fc受體進入巨噬細胞，反使病毒複製增加，這是二次異型感染易演變登革出血熱的原因，也是疫苗設計（如Dengvaxia須先驗血清狀態）的難點。與只有單一血清型的病毒（如麻疹）對比，正是本題陷阱。埃及斑蚊為白晝叮咬、孳生於積水容器，防治重點在清除孳生源。",[25,27,29,31,33],{"term":26,"count":11},"登革病毒",{"term":28,"count":11},"四種血清型",{"term":30,"count":11},"抗體依賴性增強ADE",{"term":32,"count":11},"埃及斑蚊",{"term":34,"count":11},"登革出血熱",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-1-basic-medicine-080","宿主細胞的何種機轉必為病毒所用？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-112-1-basic-medicine-046","下列何者為第二期梅毒患者的主要臨床症狀？",46,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-3-basic-medicine-040","長期使用免疫抑制劑 Cyclosporine 治療自體免疫疾病，可能引發下列何種副作用？",40,3,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-114-1-basic-medicine-038","下列那一個藥物最適合用來治療變形性骨炎（Paget disease）？",38,114,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-115-2-basic-medicine-042","下列有關抗體的敘述何者錯誤？",42,115,2,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-107-1-basic-medicine-026","有一位病人的收縮壓為 120 毫米汞柱（mmHg），脈搏壓為 30 毫米汞柱，請問其平均動脈壓為多少毫米汞柱？",26,107,"2026-09-04",1788510733396]