[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-047","nurse-114-2-basic-medicine-047",114,2,47,"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？",{"A":15,"B":16,"C":17,"D":18},"放線菌（Actinomyces）","乳酸桿菌（Lactobacillus）","比菲德氏菌（Bifidobacterium）","梭狀芽孢桿菌（Clostridium）","A",null,[],"本題考點在於形成硫磺顆粒（sulfur granules）的致病菌辨識。依微生物學特徵，放線菌（Actinomyces）為厭氧或微需氧的革蘭氏陽性絲狀菌，常寄居口腔，於侵入性牙科處置或口腔衛生不佳時侵入組織，形成慢性化膿性病灶並排出黃橘色顆粒狀菌落即硫磺顆粒，故選 A。B 乳酸桿菌與 C 比菲德氏菌屬正常菌叢，多與發酵、腸道益生相關，不形成硫磺顆粒。D 梭狀芽孢桿菌以產芽孢與外毒素致病（如破傷風、肉毒），臨床表現與硫磺顆粒無關，故均不符。","硫磺顆粒實為放線菌菌絲聚集加上鈣化與宿主組織的團塊，肉眼呈黃色故名，並非含硫。頸顏部放線菌病（lumpy jaw）最典型，治療首選長療程青黴素。對比：Nocardia 為需氧、部分抗酸、好發於免疫低下肺部，別與 Actinomyces 混淆。記憶：牙科史＋黃顆粒＝放線菌。",[25,28,30,32,34],{"term":26,"count":27},"Actinomyces",1,{"term":29,"count":27},"硫磺顆粒",{"term":31,"count":27},"口腔正常菌叢",{"term":33,"count":27},"頸顏部放線菌病",{"term":35,"count":27},"厭氧絲狀菌",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-2-basic-medicine-048","引起全身性真菌病的主要真菌病原菌，最常見感染人類的方式為何？",48,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-115-1-basic-medicine-044","有關疫苗的敘述，下列何者錯誤？",44,115,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-106-1-basic-medicine-038","下列何種組織對放射線傷害的耐受性較高？",38,106,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-107-1-basic-medicine-076","有關細菌與黴菌之比較，下列何者錯誤？",76,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-108-2-basic-medicine-040","下列何者不是痔瘡發生常見的原因？",40,108,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-109-2-basic-medicine-074","關於細菌引發食物中毒的敘述，下列何者錯誤？",74,109,"2026-09-04",1788510758919]