[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-046","nurse-114-3-basic-medicine-046",114,3,46,"有關腸內菌造成疾病的方式，下列敘述何者最適當？",{"A":15,"B":16,"C":17,"D":18},"傷寒沙門氏菌（Salmonella Typhi）不會以人傳人的方式造成疾病傳播","赤痢志賀氏菌（Shigella dysenteriae）只需要上百個病原菌就可能造成感染","鼠疫亞辛氏菌（Yersinia pestis）主要透過糞口傳播的方式傳染","肺炎克雷白氏菌（Klebsiella pneumoniae）只會造成呼吸道相關疾病","B",null,[],"本題考點在於腸道致病菌的致病與傳播特性。依感染劑量的概念，赤痢志賀氏菌毒性極強、耐胃酸能力佳，僅需上百個(約10～100)病原菌即可造成感染，(B)敘述最為適當，故選B。(A)傷寒沙門氏菌可經帶菌者(如慢性膽囊帶菌)以糞口方式人傳人，故「不會人傳人」錯誤;(C)鼠疫亞辛氏菌主要透過跳蚤叮咬與飛沫傳播，並非糞口;(D)肺炎克雷白氏菌除呼吸道外，也常見於泌尿道感染與敗血症，非「只會」呼吸道疾病，三者皆不適當。","感染劑量是流行病學重點:志賀氏菌與腸道出血性大腸桿菌(EHEC)因低感染劑量而極易人傳人，故洗手與隔離特別關鍵;沙門氏菌與霍亂弧菌則需較高菌量。傷寒的『傷寒瑪莉』正是無症狀帶菌者傳播的經典案例。鼠疫記憶:腺鼠疫靠跳蚤、肺鼠疫靠飛沫，均非糞口。克雷白氏菌為伺機性院內感染重要菌種。",[25,28,31,33,35],{"term":26,"count":27},"糞口傳播",4,{"term":29,"count":30},"赤痢志賀氏菌",1,{"term":32,"count":30},"感染劑量",{"term":34,"count":30},"傷寒帶菌者",{"term":36,"count":30},"腸道致病菌",[38,42,48,53,58,63],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"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,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-basic-medicine-043","下列有關病毒感染所引起的免疫防禦機制，何者錯誤？",43,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-106-2-basic-medicine-007","下列何者直接由升主動脈分支出？",7,106,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-107-2-basic-medicine-045","有關 Wilms’腫瘤（Wilms’ Tumor）之敘述，下列何者錯誤？",45,107,{"webId":59,"stem":60,"number":61,"year":62,"session":30},"nurse-109-1-basic-medicine-009","冠狀動脈直接源自：",9,109,{"webId":64,"stem":65,"number":45,"year":66,"session":30},"nurse-110-1-basic-medicine-043","下列何種腫瘤的細胞來源是上皮細胞（epithelial cells）？",110,"2026-09-04",1788510761354]