[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-114-3-基礎醫學-027","nurse-114-3-basic-medicine-027",114,3,27,"燒瓶狀潰瘍（flask-shaped ulcer）的最可能致病原因為何？",{"A":15,"B":16,"C":17,"D":18},"服用廣效性抗生素後造成梭狀芽胞桿菌（Clostridium）滋長","吞入感染溶組織阿米巴（Entamoeba histolytica）的食物或飲水","生食受霍亂弧菌（Vibrio cholerae）污染水域捕獲的海鮮","胃酸侵犯力增強，胃腸黏膜防禦力減弱","B",null,[],"本題考點在於燒瓶狀潰瘍(flask-shaped ulcer)的特徵性病原。溶組織阿米巴(Entamoeba histolytica)囊體隨受污染的食物或飲水吞入後,在大腸(尤其盲腸、升結腸)侵入黏膜,因其在黏膜下層橫向擴散較廣、開口窄而底部寬,形成典型『燒瓶狀』潰瘍,故選B。梭狀芽胞桿菌(A)造成偽膜性結腸炎;霍亂弧菌(C)引起大量水樣腹瀉但不侵入黏膜形成潰瘍;胃酸與黏膜防禦失衡(D)造成消化性潰瘍,病灶型態與部位皆不同,故錯。","『燒瓶狀潰瘍』是阿米巴腸炎的病理招牌:病原沿黏膜下層蔓延使潰瘍底部比表面開口更寬。阿米巴可經門靜脈到肝形成『anchovy sauce(鯷魚醬樣)』肝膿瘍。與細菌性痢疾(志賀氏菌造成淺表潰瘍、大量嗜中性球)對比,阿米巴發炎細胞反應相對少,是鑑別重點。",[25,28,31,33],{"term":26,"count":27},"燒瓶狀潰瘍",2,{"term":29,"count":30},"溶組織阿米巴",1,{"term":32,"count":30},"阿米巴腸炎",{"term":34,"count":30},"黏膜下層蔓延",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-basic-medicine-028","有關乳房纖維腺瘤（fibroadenoma），下列敘述何者最不適當？",28,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-basic-medicine-024","關於肺癌的敘述，下列何者最適當？",24,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-basic-medicine-068","下列何種結構存於細菌之細胞質內？",68,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-basic-medicine-026","關於紅血球的敘述，下列何者錯誤？",26,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-basic-medicine-070","下列何者為胸腺的功能？",70,108,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-basic-medicine-024","關於視覺路徑，物體影像經水晶體投射至視網膜時，其影像與原物體方位相比較，下列敘述何者正確？",110,"2026-09-04",1788510761165]