[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-046":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":26},"nurse-113-3-基礎醫學-046","nurse-113-3-basic-medicine-046",113,3,46,"肝炎病毒中，那一種病毒需要 B 型肝炎病毒同時感染，才能幫助它複製繁殖？",{"A":15,"B":16,"C":17,"D":18},"A 型肝炎病毒","C 型肝炎病毒","D 型肝炎病毒","E 型肝炎病毒","C",null,[],"本題考點在於各型肝炎病毒的複製特性，關鍵是辨識「缺陷型病毒」。D 型肝炎病毒（HDV\u002Fdelta 病毒）為一種缺陷型 RNA 病毒，本身缺乏製造套膜蛋白的能力，必須依賴 B 型肝炎病毒提供的表面抗原（HBsAg）作為外套膜，才能組裝成完整具感染力的病毒顆粒並複製繁殖，故答案為 C（D 型）。A 型與 E 型肝炎病毒經糞口途徑傳播、可自行完整複製，不需其他病毒協助；C 型肝炎病毒為血液傳播的完整 RNA 病毒，具自身複製能力、亦不依賴 HBV。三者皆非依附型病毒，僅 HDV 需與 HBV 共同感染（同時感染或重疊感染）。","HDV 感染兩型態：與 HBV 同時感染（coinfection）多急性、預後較好；在慢性 B 肝上重疊感染（superinfection）易加速肝硬化與猛爆性肝炎。臨床意義：接種 B 肝疫苗即可間接預防 D 肝，因為沒有 HBsAg，HDV 就組裝不起來。",[25,27,30,32],{"term":17,"count":26},2,{"term":28,"count":29},"缺陷型病毒",1,{"term":31,"count":29},"HBsAg 套膜依賴",{"term":33,"count":29},"同時\u002F重疊感染",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-basic-medicine-047","流行性感冒病毒主要藉由其表面的何種分子蛋白附著於細胞表面？",47,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-basic-medicine-043","效應 T H 1 細胞可以提供那兩種訊號幫助巨噬細胞進一步活化？",43,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-basic-medicine-037","下列何種抗組織胺（antihistamines）較不易有昏睡之副作用？",37,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-basic-medicine-055","下列何者不是服用 salicylates 所引起的副作用？",55,106,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-1-basic-medicine-019","小動脈的阻力與下列何者之 4 次方呈反比？",19,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-basic-medicine-053","下列何者可用於預防和改善暈車和暈船（motion sickness）作用？",53,109,"2026-09-04",1788510751884]