[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-050":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":27},"nurse-113-3-基礎醫學-050","nurse-113-3-basic-medicine-050",113,3,50,"下列關於叢林型斑疹傷寒（scrub typhus）的敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"其病原體為立克次氏立克次體（Rickettsia rickettsii）","主要經由恙蟎（mite）叮咬而傳播","潛伏期為 10～12 天","患者出現發燒、頭痛、肌肉痛、淋巴結腫大等症狀","A",null,[],"本題考點在於叢林型斑疹傷寒（scrub typhus，恙蟲病）的病原與流行病學，須找出敘述錯誤者。恙蟲病的病原體為 Orientia tsutsugamushi（舊稱東方立克次體），選項 A 卻寫成「立克次氏立克次體（Rickettsia rickettsii）」，後者其實是落磯山斑點熱的病原，張冠李戴，故為錯誤敘述，選 A。其餘皆正確：本病主要經受感染的恙蟎（mite）幼蟲叮咬傳播（B）；潛伏期約 9～12 天，選項 C 的 10～12 天在合理範圍（C）；臨床以發燒、頭痛、肌肉痛、淋巴結腫大為表現，叮咬處常見特徵性焦痂（eschar）（D）。辨識重點在病原名稱的正確配對。","立克次體家族易混淆：恙蟲病＝Orientia tsutsugamushi（恙蟎、有焦痂）；落磯山斑點熱＝Rickettsia rickettsii（壁蝨）；流行性斑疹傷寒＝R. prowazekii（體蝨）；地方性（鼠型）＝R. typhi（鼠蚤）。台灣恙蟲病好發於離島與草叢活動者，首選治療為 doxycycline。",[25,28,30,32],{"term":26,"count":27},"叢林型斑疹傷寒",1,{"term":29,"count":27},"Orientia tsutsugamushi",{"term":31,"count":27},"恙蟎傳播與焦痂",{"term":33,"count":27},"立克次體病原鑑別",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":27,"year":38,"session":27},"nurse-114-1-basic-medicine-001","心肌的肌內質網主要受何者刺激而釋放鈣離子？",114,{"webId":40,"stem":41,"number":42,"year":38,"session":43},"nurse-114-2-basic-medicine-047","下列那種細菌感染在傷口通常會出現黃色到橘色的類硫磺顆粒（sulfur granules），常與口腔衛生不佳或是侵入性牙科手術有關？",47,2,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-115-1-basic-medicine-041","有關革蘭氏陽性細菌的敘述，下列何者正確？",41,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-basic-medicine-059","下列藥物何者是屬於治療氣喘之用藥？",59,106,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-108-1-basic-medicine-023","下列何者最不容易使氧合血紅素解離曲線（oxygen-hemoglobin dissociation curve）右移？",23,108,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-109-1-basic-medicine-057","下列何者不是類鴉片藥物常見的副作用？",57,109,"2026-09-04",1788510751915]