[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":26},"nurse-112-1-基礎醫學-045","nurse-112-1-basic-medicine-045",112,1,45,"法蘭西氏土倫桿菌（Francisella tularensis）主要感染何種人體細胞？",{"A":15,"B":16,"C":17,"D":18},"巨噬細胞","上皮細胞","基底細胞","自然殺手細胞","A",null,[],"本題考點在於土倫病病原的細胞內寄生特性。法蘭西氏土倫桿菌（Francisella tularensis）是革蘭氏陰性的兼性細胞內寄生菌，主要感染並在巨噬細胞內存活增殖，故選 A。考點在於排除其他：B 上皮細胞、C 基底細胞屬體表或黏膜屏障細胞，非其主要標的；D 自然殺手細胞是先天免疫的淋巴球，並非該菌寄生對象。細胞內菌能逃避吞噬殺滅、於巨噬細胞內繁殖，故答案為巨噬細胞。","Francisella tularensis 引起土倫病（兔熱病），可經蜱蟲叮咬、接觸感染動物或吸入傳播，感染性極強屬潛在生物戰劑。細胞內菌（如結核桿菌、李斯特菌、退伍軍人菌）多藏身巨噬細胞，須靠細胞媒介免疫（T 細胞、干擾素 γ）清除。記憶點：細胞內菌＝躲進巨噬細胞。可連結細胞內菌與 Th1 免疫反應複習。",[25,27,29,31],{"term":15,"count":26},5,{"term":28,"count":11},"法蘭西氏土倫桿菌",{"term":30,"count":11},"細胞內寄生菌",{"term":32,"count":11},"土倫病",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"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,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-042","從胸腺發育而來，未曾受抗原刺激的 T 細胞，主要由下列何種細胞啟動第一步的活化？",42,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-036","Clopidogrel 抑制血小板凝集的作用機制為何？",36,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":42},"nurse-114-3-basic-medicine-034","用於治療巴金森氏症之藥物中，下列何者最不容易進入腦中產生作用？",34,114,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-106-2-basic-medicine-008","下列有關男性生殖器官的敘述，何者錯誤？",8,106,{"webId":60,"stem":61,"number":41,"year":62,"session":48},"nurse-107-2-basic-medicine-042","缺血性腸病（ischemic bowel disease）中，發生全腸壁性梗塞（transmural infarction）最主要的原因為何？",107,"2026-09-04",1788510740878]