[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-114-1-基礎醫學-050","nurse-114-1-basic-medicine-050",114,1,50,"下列何種症狀最常出現於非洲錐蟲病（African trypanosomiasis）病人的急性期臨床表現？",{"A":15,"B":16,"C":17,"D":18},"昏迷和抽搐","高燒和昏睡","無法集中注意力和失去平衡","發熱、肌肉疼痛、關節疼痛和淋巴結腫大","D",null,[],"本題考點在於非洲錐蟲病（睡眠病）急性期的臨床表現。依寄生蟲學，采采蠅叮咬傳入錐蟲後的急性（血液淋巴）期，表現為間歇性發熱、肌肉疼痛、關節疼痛與淋巴結腫大（後頸淋巴結腫即 Winterbottom 徵象），故選 D。A 昏迷抽搐與 B 高燒昏睡、C 無法集中與失去平衡多屬病程晚期侵犯中樞神經的腦膜腦炎期表現，非急性期最常見的初期症狀。","非洲錐蟲病分兩期：急性血液淋巴期以發熱、淋巴結腫為主；慢性中樞神經期則出現日夜顛倒、嗜睡、行為改變，故稱睡眠病。記憶要點：先「發燒＋淋巴結腫」（急性），後「嗜睡＋神經症狀」（中樞）。Winterbottom 徵象是後三角淋巴結腫的典型提示。",[25,27,29,31],{"term":26,"count":11},"非洲錐蟲病",{"term":28,"count":11},"急性血液淋巴期",{"term":30,"count":11},"淋巴結腫大",{"term":32,"count":11},"Winterbottom 徵象",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":11,"year":10,"session":37},"nurse-114-2-basic-medicine-001","有關濾泡刺激素（follicle-stimulating hormone）的敘述，下列何者錯誤？",2,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-114-3-basic-medicine-047","主要經由人類身上的體蝨叮咬而傳播的細菌為何？",47,3,{"webId":44,"stem":45,"number":46,"year":47,"session":37},"nurse-115-2-basic-medicine-041","細菌對青黴素（penicillin）產生抗藥性，其最主要的機轉為何？",41,115,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-107-1-basic-medicine-029","一位 65 公斤重的人，其細胞內液（intracellular fluid）有多少公斤？",29,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-1-basic-medicine-073","關於類鐸受體（Toll-like receptor, TLR）的敘述，下列何者正確？",73,108,{"webId":59,"stem":60,"number":61,"year":62,"session":37},"nurse-109-2-basic-medicine-027","男性心血管疾病發生率高於非更年期女性，主要是下列何種因素導致此現象？",27,109,"2026-09-04",1788510756706]