[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-111-2-基礎醫學-046","nurse-111-2-basic-medicine-046",111,2,46,"下列何種細菌不會在吞噬細胞內生存複製，而造成疾病？",{"A":15,"B":16,"C":17,"D":18},"退伍軍人肺炎菌 (Legionella pneumophila)","鼠疫桿菌（ Yersinia pestis)","破傷風梭狀菌 (Clostridium tetani)","單胞李斯特菌 (Listeria monocytogenes )","C",null,[],"本題考點為胞內寄生菌的辨識。退伍軍人肺炎菌、鼠疫桿菌、單胞李斯特菌皆能在吞噬細胞內存活並複製（兼性或絕對胞內菌）。破傷風梭狀菌為產外毒素的厭氧菌，致病靠傷口局部產生的神經毒素而非在吞噬細胞內增殖，故選 C。(A)(B)(D)皆屬能在吞噬細胞內生存的病原，故非答案。","胞內菌能逃避吞噬體殺菌（如 Listeria 溶出至細胞質、Legionella 阻止吞噬體酸化），因此清除須仰賴細胞媒介免疫（CD8、活化巨噬細胞）。破傷風梭菌則以神經毒素 tetanospasmin 抑制抑制性神經傳導物質釋放，造成強直痙攣，屬毒素型致病，與胞內寄生的免疫機轉完全不同。",[25,27,29,32],{"term":26,"count":11},"外毒素致病",{"term":28,"count":11},"細胞媒介免疫",{"term":30,"count":31},"胞內寄生菌",1,{"term":33,"count":31},"破傷風梭狀菌",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-basic-medicine-047","下列何種黴菌常經由呼吸道感染？",47,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-2-basic-medicine-043","下列那一種絛蟲類寄生蟲囊體幼蟲會侵入腦部造成病害？",43,112,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-113-1-basic-medicine-037","Milrinone具有強心及擴張血管之功能，長期使用會引發心律不整，此藥物的藥理作用機制為何？",37,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-2-basic-medicine-035","關於 Diphenhydramine 的敘述，下列何者錯誤？",35,114,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-106-1-basic-medicine-039","目前肺癌的標靶治療，最主要是針對何種基因的突變？",39,106,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-107-1-basic-medicine-073","鏈桿菌（Streptobacillus spp.）和螺旋菌（Spirillum spp.）的比較，下列何者敘述錯誤？",73,107,"2026-09-04",1788510737411]