[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-basic-medicine-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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-113-1-基礎醫學-047","nurse-113-1-basic-medicine-047",113,1,47,"下列何種細菌感染所造成的腸炎，最可能引發周邊神經病變（Guillain-Barré症候群）？",{"A":15,"B":16,"C":17,"D":18},"大腸桿菌（Escherichia coli）","幽門螺旋桿菌（Helicobacter pylori）","霍亂弧菌（Vibrio cholerae）","空腸彎曲桿菌（Campylobacter jejuni）","D",null,[],"本題考點在於最易誘發格林-巴利症候群的腸炎病原。依微生物學與神經免疫學，空腸彎曲桿菌（Campylobacter jejuni）腸炎是格林-巴利症候群（GBS）最常見的前驅感染，其脂寡醣與神經節苷脂（ganglioside）結構相似，經分子模擬引發自體抗體攻擊周邊神經，故選 D。A 大腸桿菌、B 幽門螺旋桿菌、C 霍亂弧菌雖各致腸胃道疾病，但與 GBS 的關聯遠不如空腸彎曲桿菌，故錯。","GBS 是急性發炎性脫髓鞘多發性神經病變，典型為感染後 1–3 週出現上行性對稱無力與腱反射消失。分子模擬機轉：C. jejuni 表面 LOS 模仿神經 GM1 ganglioside，抗體交叉反應損傷髓鞘或軸突。其他觸發還有 CMV、EBV、Zika、近期疫苗爭議。記憶：腹瀉後手腳無力＝想 Campylobacter＋GBS。",[25,27,29,31],{"term":26,"count":11},"空腸彎曲桿菌",{"term":28,"count":11},"格林-巴利症候群",{"term":30,"count":11},"分子模擬",{"term":32,"count":11},"神經節苷脂",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-113-1-basic-medicine-048","下列何者不屬於皮癬菌（dermatophytes）？",48,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-113-3-basic-medicine-044","下列何種並非具致病性葡萄球菌之特色？",44,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-basic-medicine-038","下列糖尿病的治療藥物中，何者單獨使用時最可能造成低血糖（hypoglycemia）的風險？",38,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-basic-medicine-036","下列何種腫瘤之發生最符合基因雙重打擊理論（two hit hypothesis）？",36,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-basic-medicine-080","在精神病院、難民營和擁擠的日間照護中心，要特別注意下列那種寄生蟲的感染？",80,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-basic-medicine-034","一位 35 歲男性因車禍造成右大腿骨折，兩天後病人出現呼吸困難、躁動不安、神智不清等症狀。就醫後發現病人有皮下點狀出血和血小板減少。下列何者是引起病人臨床表現的最可能原因？",34,108,"2026-09-04",1788510749766]