[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-048":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-048","nurse-111-2-basic-medicine-048",111,2,48,"有關梅毒（syphilis）的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"第一期梅毒會出現具疼痛的潰瘍，按壓糜軟，故又稱軟性下疳","第二期梅毒有高量細菌匯聚在淋巴結，病人無太明顯臨床症狀","第三期症狀主要以皮疹及濕疣為主，具高傳染力","先天性梅毒主要通過孕婦胎盤傳染給胎兒","D",null,[],"本題考點為梅毒各期特徵的正確敘述。先天性梅毒是母體梅毒螺旋體經胎盤垂直傳染給胎兒，敘述 D 正確，選 D。(A)第一期為無痛性硬性下疳（非軟性下疳；軟性下疳為杜克雷嗜血桿菌所致），故錯。(B)第二期為菌血症廣泛散播、有明顯皮疹等全身症狀，非「無明顯症狀」，故錯。(C)第三期以樹膠腫、心血管與神經侵犯為主、傳染力低，皮疹與濕疣屬第二期，故錯。","梅毒分期記憶：一期＝硬下疳（無痛、硬、乾淨）；二期＝全身皮疹（含手掌腳掌）、扁平濕疣、傳染力最強；潛伏期無症狀；三期＝樹膠腫、主動脈瘤、神經性梅毒。無痛硬 vs 有痛軟為高頻辨題點：syphilis 硬下疳無痛、chancroid 軟性下疳疼痛，兩者常被交換設陷阱。",[25,28,31,33],{"term":26,"count":27},"梅毒分期",3,{"term":29,"count":30},"硬性下疳無痛",1,{"term":32,"count":30},"先天性梅毒胎盤垂直傳染",{"term":34,"count":30},"第二期傳染力",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-basic-medicine-049","下列何種病毒不具有鞘膜（envelope）？",49,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-112-2-basic-medicine-045","下列何種自體免疫疾病，病人體內會有 IgG 抗體對抗腎臟基底膜上第四型膠原蛋白，引起腎組織內的發炎反應？",45,112,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-113-1-basic-medicine-039","下列抗結核桿菌的藥物中，何者會降低以protease inhibitors治療愛滋病（AIDS）的效果？",39,113,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-114-2-basic-medicine-037","下列利尿劑中，何者在頻繁及高劑量使用下易產生耳毒性（ototoxicity）副作用？",37,114,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-106-1-basic-medicine-041","下列淋巴腫瘤中，何者最常出現「貓頭鷹眼睛樣（owl-eye appearance）」大細胞核的腫瘤細胞與淋巴細胞、漿細胞、嗜伊紅性白血球混雜？",41,106,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-107-1-basic-medicine-075","威脅生命的擴散性念珠菌症（disseminated candidiasis）主要發生在何種病人？",75,107,"2026-09-04",1788510737426]