[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-113-2-基礎醫學-049","nurse-113-2-basic-medicine-049",113,2,49,"流行性感冒病毒感染後，引起的常見症狀，如發燒、喉嚨痛及關節疼痛的原因不包括下列何者？",{"A":15,"B":16,"C":17,"D":18},"病毒對呼吸道上皮細胞的破壞","病毒對關節的直接破壞","T 細胞引起的免疫反應","干擾素引起的免疫反應","B",null,[],"本題考點在於流感症狀的病生理成因,屬反向題（問「不包括」者）。依據流感病毒的致病機轉,發燒、喉嚨痛、肌肉關節痠痛主要來自病毒破壞呼吸道上皮（A）、宿主 T 細胞免疫反應（C）及干擾素等細胞激素引發的全身性發炎反應（D）。錯誤敘述為 B,流感病毒具嗜呼吸道上皮的特性,並不會直接侵犯破壞關節組織,關節疼痛實為干擾素與發炎性細胞激素造成的全身性肌肉關節痠痛,而非病毒對關節的直接破壞,故選 B。","流感的全身症狀是「細胞激素風暴」的縮影:干擾素（IFN）與 IL-6、TNF-α 等致熱原作用於下視丘體溫調節中樞造成發燒,並引起肌肉關節痠痛。病毒複製侷限於呼吸道纖毛上皮,故關節痛屬間接的免疫介導,而非直接感染。記憶重點:流感「痠痛來自免疫反應而非病毒直接侵犯關節」是本題設計核心。",[25,27,30,32],{"term":26,"count":11},"流感病毒",{"term":28,"count":29},"呼吸道上皮",1,{"term":31,"count":29},"干擾素",{"term":33,"count":29},"細胞激素致熱原",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-basic-medicine-050","下列何者為中華肝吸蟲（Clonorchis sinensis）最常見的感染方式？",50,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-basic-medicine-046","病人最近得到泌尿道感染，醫師利用革蘭氏染色法檢驗尿液中的細菌，染到與番紅（safranin）呈現相同顏色的一株細菌，下列針對這株細菌的敘述，何者錯誤？",46,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-040","下列何者為人源性單株抗體（ humanized monoclonal antibody），用於免疫抑制誘導治療（induction immunosuppressant therapy）？",40,3,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"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":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-052","下列何種抗癲癇藥物對突觸小泡蛋白（synaptic vesicle protein, SV2A）的親和力最高？",52,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-basic-medicine-006","下列何者是由數層濾泡細胞及有液體之濾泡腔組成，其內並包含一個初級卵母細胞？",6,109,"2026-09-04",1788510754328]