[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-2-basic-medicine-048":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":11},"nurse-114-2-基礎醫學-048","nurse-114-2-basic-medicine-048",114,2,48,"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？",{"A":15,"B":16,"C":17,"D":18},"誤食真菌的菌絲體","傷口接觸到真菌菌絲","吸入真菌的分生孢子","眼睛黏膜接觸到酵母菌樣（yeast-form）之真菌病原菌","C",null,[],"本題考點在於全身性（系統性）真菌病的主要感染途徑。依醫學真菌學，Histoplasma、Coccidioides、Blastomyces 等雙型性真菌於環境（土壤、鳥蝠糞）以黴菌形態存在並產生分生孢子，人類主要經呼吸道吸入分生孢子而感染，孢子入肺後轉為酵母形態致病，故選 C。A 誤食菌絲體非全身性真菌病主途徑。B 傷口接觸菌絲較符合皮下型真菌病（如孢子絲菌病）而非系統性。D 眼睛黏膜接觸並非這類病原的主要進入門戶，故均不符。","雙型性真菌具溫度依賴的形態轉換：環境 25℃ 呈黴菌相產孢，人體 37℃ 轉酵母相，是致病關鍵，也是實驗室鑑定重點。吸入後多先形成肺部原發灶，免疫低下者可血行播散。記憶口訣：系統性真菌走「呼吸道—肺—酵母相」路線；皮下型才靠外傷接種。",[25,27,30,32,34],{"term":26,"count":11},"雙型性真菌",{"term":28,"count":29},"系統性真菌病",1,{"term":31,"count":29},"分生孢子吸入",{"term":33,"count":29},"溫度依賴形態轉換",{"term":35,"count":29},"肺部原發感染",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-2-basic-medicine-049","有關流行性感冒病毒的敘述，下列何者錯誤？",49,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-115-1-basic-medicine-045","有關化膿性鏈球菌（Streptococcus pyogenes）的敘述，下列何者錯誤？",45,115,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-106-1-basic-medicine-039","目前肺癌的標靶治療，最主要是針對何種基因的突變？",39,106,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-107-1-basic-medicine-077","肝炎病毒中，唯一屬於 DNA 病毒的是下列那一種病毒？",77,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-108-2-basic-medicine-041","50 歲女性，身材略微肥胖，且有糖尿病及高血壓的病史，最近因陰道出血就診。下列何種診斷的可能性最低？",41,108,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-109-2-basic-medicine-075","下列關於披衣菌（Chlamydiaceae）的敘述，何者正確？",75,109,"2026-09-04",1788510758923]