[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-111-2-基礎醫學-041","nurse-111-2-basic-medicine-041",111,2,41,"下列那一種作用過程，不能用來傳遞細菌的遺傳物質？",{"A":15,"B":16,"C":17,"D":18},"接合作用（conjugation）","形質導入（transduction）","形質轉換（transformation）","分泌作用（secretion）","D",null,[],"本題考點為細菌間遺傳物質水平轉移的方式。細菌基因水平轉移有三種：接合作用（透過性纖毛傳遞質體）、形質導入（噬菌體攜帶 DNA）、形質轉換（吸收環境游離 DNA）。分泌作用是細胞排出物質的過程，並非傳遞遺傳物質的機制，故選 D。(A)(B)(C)皆為公認的水平基因轉移途徑，故非答案。","三種水平轉移的記憶：conjugation 需「接觸」（pilus）、transduction 靠「病毒（phage）」、transformation「撿」裸露 DNA。這是抗藥性基因散播的重要機轉，尤以接合作用傳遞 R plasmid 最具臨床意義。secretion（如第三型分泌系統）是致病因子的輸出途徑，與基因傳遞無關，屬易混淆的干擾項。",[25,28,30,33],{"term":26,"count":27},"水平基因轉移",3,{"term":29,"count":11},"接合作用",{"term":31,"count":32},"形質導入",1,{"term":34,"count":32},"形質轉換",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-basic-medicine-042","尿漿菌（Ureaplasma）對萬古黴素（Vancomycin）具抵抗性的機制為何？",42,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-112-2-basic-medicine-038","下列何種避孕方式最適合用於年齡大於 35 歲且有抽菸習慣之女性？",38,112,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-113-1-basic-medicine-032","下列何者最常用於緊急治療過敏性休克（anaphylactic shock）？",32,113,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-114-2-basic-medicine-030","痛風為尿酸鈉結晶沉積於關節或附近組織造成發炎反應，關於痛風的臨床表現下列何者正確？",30,114,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-106-1-basic-medicine-034","一位 13 歲男孩因腎病症候群（nephrotic syndrome）住院，他被發現有明顯下肢水腫，腎臟科醫師開立蛋白質輸液以減輕病人的水腫。含下列何種蛋白質的輸液最能改善此病人的症狀？",34,106,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-107-1-basic-medicine-068","有關抗體的敘述，下列何者錯誤？",68,107,"2026-09-04",1788510737371]