[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-045":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-113-1-基礎醫學-045","nurse-113-1-basic-medicine-045",113,1,45,"治療金黃色葡萄球菌造成的院內感染，下列何種抗生素最可能有效？",{"A":15,"B":16,"C":17,"D":18},"紅黴素（Erythromycin）","萬古黴素（Vancomycin）","氯黴素（Chloramphenicol）","青黴素（Penicillin）","B",null,[],"本題考點在於治療金黃色葡萄球菌院內感染的有效抗生素。依感染科用藥，院內金黃色葡萄球菌多為抗甲氧西林（MRSA）菌株，對 β-lactam 抗藥；萬古黴素（vancomycin）抑制細胞壁合成，是治療 MRSA 的首選，故選 B。A 紅黴素、C 氯黴素抑菌力與抗藥性問題使其非首選；D 青黴素早已被葡萄球菌產生的 β-內醯胺酶水解而無效，故錯。","金黃色葡萄球菌抗藥史：先產 penicillinase 破壞青黴素→改用 methicillin\u002Foxacillin→出現 MRSA（mecA 改變 PBP2a）→靠 vancomycin。院內＝MRSA 機率高，經驗性首選 vancomycin（或 daptomycin、linezolid）。社區型 MRSA 亦漸增。記憶：院內金黃葡萄球菌＝想 MRSA＝萬古黴素。",[25,28,31,33],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":30},"MRSA",2,{"term":32,"count":11},"萬古黴素",{"term":34,"count":11},"β-內醯胺酶抗藥性",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-1-basic-medicine-046","下列何種細菌感染，常與食用受污染的帶殼海鮮所發生的食物中毒相關？",46,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-113-3-basic-medicine-042","下列那一種補體分子促進肥大細胞（mast cell）分化效果最佳？",42,3,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-114-2-basic-medicine-036","有關 Angiotensin-converting enzyme inhibitors （ ACEIs）用於治療心衰竭的作用機制之敘述，下列何者錯誤？",36,114,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-106-1-basic-medicine-034","一位 13 歲男孩因腎病症候群（nephrotic syndrome）住院，他被發現有明顯下肢水腫，腎臟科醫師開立蛋白質輸液以減輕病人的水腫。含下列何種蛋白質的輸液最能改善此病人的症狀？",34,106,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-107-1-basic-medicine-078","常發生於夏季的登革熱，其症狀可類似感冒，亦可嚴重至休克出血，其傳播途徑主要由下列那一種途徑？",78,107,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-108-2-basic-medicine-032","下列那一項不屬於進食誘發吞嚥反射（swallowing reflex）？",32,108,"2026-09-04",1788510749742]