[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-114-1-基礎醫學-045","nurse-114-1-basic-medicine-045",114,1,45,"有關金黃色葡萄球菌（Staphylococcus aureus）感染所造成的臨床表徵，下列何者症狀通常不是由其分泌的毒素所導致？",{"A":15,"B":16,"C":17,"D":18},"猛爆性紫斑病（purpura fulminans）","葡萄球菌食物中毒（food poisoning）","心內膜炎（endocarditis）","葡萄球菌燙傷狀皮膚症候群（staphylococcal scalded skin syndrome）","C",null,[],"本題考點在於金黃色葡萄球菌感染中毒素媒介與非毒素媒介表徵的區分，本題為反向題，要挑出「非」由毒素導致者。依微生物學，心內膜炎是細菌直接附著並增殖於心瓣膜造成的侵襲性感染，並非由分泌毒素引起，故選 C。A 猛爆性紫斑病、B 食物中毒（腸毒素 enterotoxin）、D 葡萄球菌燙傷狀皮膚症候群（表皮剝脫毒素）皆為毒素媒介，屬本菌外毒素作用。","金黃色葡萄球菌致病兼具直接侵襲與毒素兩路：食物中毒的腸毒素為耐熱、快速引發嘔吐；SSSS 由表皮剝脫毒素分解橋粒芯蛋白使表皮脫落；毒性休克則與 TSST-1 超抗原有關。記憶要點：心內膜炎是「菌長在瓣膜」的侵襲，不靠毒素。",[25,28,31,33,35],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":30},"腸毒素",3,{"term":32,"count":11},"外毒素",{"term":34,"count":11},"心內膜炎",{"term":36,"count":11},"表皮剝脫毒素",[38,42,46,52,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"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,{"webId":43,"stem":44,"number":45,"year":10,"session":30},"nurse-114-3-basic-medicine-042","下列何種抗體常以雙聚體方式分泌？",42,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-115-2-basic-medicine-036","下列何種藥物可作為高血壓第一線單一藥物初始治療之選擇？",36,115,2,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-107-1-basic-medicine-024","偵測人類絨毛膜性腺激素是確定懷孕之重要指標。請問人類絨毛膜性腺激素何時開始分泌？",24,107,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-108-1-basic-medicine-068","下列何者最常引起新生兒的細菌性腦膜炎？",68,108,{"webId":63,"stem":64,"number":65,"year":66,"session":51},"nurse-109-2-basic-medicine-022","運動失調（ataxia）主要是因為腦部那一區域受損？",22,109,"2026-09-04",1788510756633]