[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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-113-3-基礎醫學-044","nurse-113-3-basic-medicine-044",113,3,44,"下列何種並非具致病性葡萄球菌之特色？",{"A":15,"B":16,"C":17,"D":18},"能產生色素","能發酵木蜜醇（mannitol）","具有溶血作用","凝固酶（coagulase）反應試驗呈陰性反應","D",null,[],"本題考點在於致病性葡萄球菌（金黃色葡萄球菌）的鑑別特徵，須找出「非其特色」者。金黃色葡萄球菌的致病與鑑定特徵包括能產生金黃色色素、能發酵甘露醇（mannitol，於 MSA 培養基變黃）、具溶血作用，以及最關鍵的凝固酶（coagulase）試驗呈陽性。選項 D 敘述凝固酶反應呈陰性，與致病性金黃色葡萄球菌相反，故為非其特色者，選 D。凝固酶陰性反而是表皮葡萄球菌等致病性較低菌種的特徵。其餘三項（產色素、發酵甘露醇、溶血）皆為金黃色葡萄球菌的典型陽性特徵，符合致病性菌種描述。","臨床鑑別以凝固酶為分水嶺：coagulase 陽性＝金黃色葡萄球菌（致病力強，可致膿瘍、食物中毒、TSS）；coagulase 陰性＝表皮\u002F腐生葡萄球菌（多為伺機性、導管感染）。凝固酶能把纖維蛋白原轉為纖維蛋白，形成保護膜助菌逃避吞噬，是毒力因子之一。",[25,28,31,33],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":30},"凝固酶試驗",1,{"term":32,"count":30},"甘露醇發酵",{"term":34,"count":30},"凝固酶陰性葡萄球菌",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-basic-medicine-045","法蘭西氏土倫桿菌（Francisella tularensis）可以在巨噬細胞內存活一段時間的主要原因為何？",45,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-basic-medicine-041","外科手術器材如帶有塑膠材質，下列何者是最適合的消毒法？",41,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-1-basic-medicine-035","下列何者不是三環類抗憂鬱藥物之作用機制？",35,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-basic-medicine-053","Carbidopa 與 levodopa 併用於巴金森氏症患者之治療，主要是因為 carbidopa 抑制下列何種酶所致？",53,106,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-108-1-basic-medicine-017","核仁（nucleolus）的主要功能為何？",17,108,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-109-1-basic-medicine-051","迷幻藥 LSD 主要影響腦部的何種神經系統？",51,109,"2026-09-04",1788510751857]