[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-042":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-042","nurse-111-2-basic-medicine-042",111,2,42,"尿漿菌（Ureaplasma）對萬古黴素（Vancomycin）具抵抗性的機制為何？",{"A":15,"B":16,"C":17,"D":18},"沒有細胞壁","特殊之細胞壁結構、鍵結","特殊之細胞壁成分","細胞膜較厚且具有外莢膜","A",null,[],"本題考點為 Ureaplasma 對萬古黴素天然抗藥的原因。Vancomycin 的作用機轉是結合細胞壁前驅物 D-Ala-D-Ala 而阻斷肽聚醣合成；黴漿菌屬（含 Ureaplasma）本身沒有細胞壁，故 vancomycin 無標的可作用，天然具抗藥性，選 A。(B)(C)(D)分別描述特殊細胞壁結構、成分或外莢膜，皆與此菌「無細胞壁」的事實矛盾，故錯誤。","Mycoplasma／Ureaplasma 缺乏細胞壁，因此所有作用於細胞壁的抗生素（β-lactam、vancomycin）皆無效，治療須改用抑制蛋白質合成的巨環類（macrolide）、四環黴素或 fluoroquinolone。記憶要點：無細胞壁＝細胞壁抗生素全數失效，且革蘭氏染色也染不出，是此菌的兩大考點特徵。",[25,28,31,33],{"term":26,"count":27},"無細胞壁",3,{"term":29,"count":30},"Ureaplasma 黴漿菌",1,{"term":32,"count":30},"Vancomycin 作用機轉",{"term":34,"count":30},"天然抗藥性",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-basic-medicine-043","關於第 I 類 MHC 分子呈現經由內源性路徑產生的抗原，下列敘述何者正確？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-112-2-basic-medicine-039","Leucovorin 常用於降低下列何種抗癌藥物之副作用？",39,112,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-113-1-basic-medicine-033","下列對於毒品搖頭丸之敘述，何者最不適當？",33,113,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-114-2-basic-medicine-031","巨環類抗生素（macrolides）最不易引起下列何種副作用？",31,114,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-106-1-basic-medicine-035","人類免疫不全病毒（Human Immunodeficiency Virus）主要是藉由結合淋巴球細胞表面何種目標物進入淋巴球細胞？",35,106,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-107-1-basic-medicine-069","下列何者不屬於第三型過敏反應（Type III hypersensitivity）引起之疾病或反應？",69,107,"2026-09-04",1788510737374]