[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-114-2-基礎醫學-045","nurse-114-2-basic-medicine-045",114,2,45,"金黃色葡萄球菌常在食材煮熟前就污染了食物，因而造成食物中毒。下列針對該菌造成食物中毒的敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"症狀發生通常於進食後平均 4 小時左右","可能因該菌產生的耐熱型腸毒素造成","食物中毒症狀通常伴隨發燒及血便","臨床用藥以症狀消除為主，不建議抗生素","C",null,[],"本題考點在於金黃色葡萄球菌食物中毒的臨床特徵。本題為反向題,錯誤敘述為 C「通常伴隨發燒及血便」。依病生理,金黃色葡萄球菌食物中毒屬毒素型,以噁心、嘔吐、腹痛為主,通常不發燒也無血便,故 C 描述錯誤,選 C。A 正確,因是預先形成的毒素,潛伏期短,平均進食後約 4 小時發病;B 正確,致病主因是耐熱型腸毒素(enterotoxin),加熱不易破壞;D 正確,屬毒素作用而非細菌侵襲,治療以症狀支持與補充水分電解質為主,不需抗生素。故正解為 C。","分型對比:毒素型食物中毒(金黃色葡萄球菌、仙人掌桿菌嘔吐型)潛伏短、以嘔吐為主、不發燒;侵襲型(沙門氏菌、志賀氏菌、腸炎弧菌)潛伏長、常發燒與血便。金黃色葡萄球菌腸毒素耐熱(100°C 數分鐘不失活),故食物重新加熱也無法去毒,重點在防污染與低溫保存。",[25,28,30,33],{"term":26,"count":27},"金黃色葡萄球菌",8,{"term":29,"count":11},"毒素型食物中毒",{"term":31,"count":32},"耐熱型腸毒素",1,{"term":34,"count":32},"潛伏期短",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-2-basic-medicine-046","下列針對腦膜炎雙球菌（Neisseria meningitidis）引發腦膜炎的敘述，何者錯誤？",46,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-basic-medicine-042","下列何種免疫細胞具有吞噬能力，當病原菌入侵人體組織時，可作為抗菌的第一道防線？",42,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-basic-medicine-036","下列何種腫瘤之發生最符合基因雙重打擊理論（two hit hypothesis）？",36,106,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-107-1-basic-medicine-074","回歸熱疏螺旋體（Borrelia recurrentis）在人體引發重覆性的發燒、好轉，主要的原因為何？",74,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-108-2-basic-medicine-038","下列何者最常引起兒童腎病症候群（nephrotic syndrome）？",38,108,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-109-2-basic-medicine-072","下列何者具有過濾血液中病原體以及清除衰老的血球細胞和血小板的功能？",72,109,"2026-09-04",1788510758906]