[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-113-1-內外科護理學-048","nurse-113-1-medical-surgical-048",113,1,48,"有關食物中毒之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"河豚中毒主要是處理河豚過程被細菌污染造成","金黃色葡萄球菌中毒症狀主要是視力模糊、吞嚥困難","沙門氏桿菌中毒症狀主要是腹瀉、噁心、嘔吐及發燒","食物中毒之嚴重度與食入污染物的量與內毒素含量呈負相關","C",null,[],"本題考點在於常見食物中毒致病原的機轉與典型症狀對應。依微生物學，沙門氏桿菌（Salmonella）屬感染型食物中毒，須活菌在腸道增殖引起發炎，故潛伏期較長、典型症狀為腹瀉、噁心、嘔吐並伴發燒，C 正確。A「河豚中毒是細菌污染造成」錯誤，河豚毒（tetrodotoxin）是本身內臟卵巢的神經毒素，阻斷鈉離子通道，非細菌污染。B「金黃色葡萄球菌症狀為視力模糊、吞嚥困難」錯誤，那是肉毒桿菌毒素的神經麻痺表現；金黃色葡萄球菌腸毒素以突發嘔吐、腹絞痛為主且潛伏期短。D「嚴重度與食入量及毒素含量呈負相關」錯誤，攝入劑量愈高症狀通常愈重，應為正相關。故正解為 C。","分類記憶：食物中毒分感染型與毒素型。感染型（沙門氏桿菌、腸炎弧菌）需活菌增殖，潛伏期長、常發燒；毒素型（金黃色葡萄球菌、肉毒桿菌）由預形成毒素致病，潛伏期短、多不發燒。金黃色葡萄球菌腸毒素耐熱，加熱無法破壞，典型 2–6 小時劇烈嘔吐；肉毒桿菌毒素阻斷乙醯膽鹼釋放，造成複視、吞嚥困難、下行性麻痺。河豚毒與貝毒屬天然神經毒素，阻斷電位門控鈉通道。劑量與症狀嚴重度一般為正相關。",[24,27,29,31],{"term":25,"count":26},"沙門氏桿菌",2,{"term":28,"count":10},"感染型與毒素型食物中毒",{"term":30,"count":10},"金黃色葡萄球菌腸毒素",{"term":32,"count":10},"肉毒桿菌毒素",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-049","有關自動體外電擊去顫器（AED）操作，下列敘述何者錯誤？",49,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-045","有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",45,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-039","有關腎臟結石接受體外震波術後照護措施之敘述，下列何者錯誤？",39,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-037","乳房腫瘤 3 cm，侵犯至同側腋下淋巴結，但無遠處轉移，依據 TNM 分期，下列何者正確？",37,106,{"webId":54,"stem":55,"number":10,"year":56,"session":26},"nurse-107-2-medical-surgical-001","古先生，35 歲，為貨運司機，因腰椎椎間盤突出接受手術治療，術後依醫師指示需穿背架 6 個月，下列敘述何者錯誤？",107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-108-2-medical-surgical-035","有關急性骨髓性白血病病人在接受異體骨髓移植後 3 週，出現全身紅疹與腹瀉症狀，下列敘述何者錯誤？",35,108,"2026-09-04",1788510750616]