[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-046":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":11},"nurse-112-1-基礎醫學-046","nurse-112-1-basic-medicine-046",112,1,46,"下列何者為第二期梅毒患者的主要臨床症狀？",{"A":15,"B":16,"C":17,"D":18},"下疳（chancre）","心血管性梅毒","梅毒腫","全身性黏膜皮膚性紅疹","D",null,[],"本題考點在於梅毒分期的臨床表現。第二期梅毒為梅毒螺旋體血行散播全身的階段，主要表現為全身性黏膜皮膚性紅疹（常見手掌與腳掌紅疹）與全身淋巴結腫大，故選 D。考點在於排除其他分期：A 下疳（chancre）是第一期無痛性硬性潰瘍，出現於感染部位；B 心血管性梅毒（如主動脈瘤）與 C 梅毒腫（gumma，肉芽腫性壞死病灶）皆屬第三期（晚期）表現。故以第二期特徵而言，答案為全身性黏膜皮膚性紅疹。","梅毒分期記憶：一期＝無痛硬下疳；二期＝全身紅疹（含手掌腳掌）＋扁平濕疣＋淋巴結腫；潛伏期無症狀；三期＝梅毒腫、心血管與神經性梅毒。病原為梅毒螺旋體（Treponema pallidum），篩檢用 VDRL\u002FRPR，確診用 TPHA\u002FFTA-ABS。可連結性傳染病與先天性梅毒複習。",[25,27,29,31],{"term":26,"count":11},"第二期梅毒",{"term":28,"count":11},"全身性黏膜皮膚紅疹",{"term":30,"count":11},"下疳第一期",{"term":32,"count":11},"梅毒腫第三期",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-047","下列何種病毒感染與鼻咽癌的形成最有關？",47,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-043","下列何種過敏反應主要是由 IgE 抗體所引起？",43,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-037","下列何者屬於抑制腸胃蠕動的藥物（antimotility agents），用於治療嚴重腹瀉？",37,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":42},"nurse-114-3-basic-medicine-035","關於秋水仙素（colchicine），下列敘述何者錯誤？",35,114,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-106-2-basic-medicine-009","用力吸氣增大胸腔容積時，與下列何者的收縮無關？",9,106,{"webId":60,"stem":61,"number":41,"year":62,"session":48},"nurse-107-2-basic-medicine-043","關於克隆氏病（Crohn disease）的敘述，下列何者正確？① 多侷限在迴腸（ileum）末端，也會侵犯結腸（colon） ②潰瘍十分表淺 ③潰瘍與潰瘍之間的正常黏膜有如鵝卵石般 ④常出現肉芽腫（granulomas） ⑤腸壁會變薄且嚴重擴大",107,"2026-09-04",1788510740882]