[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-047","nurse-114-3-basic-medicine-047",114,3,47,"主要經由人類身上的體蝨叮咬而傳播的細菌為何？",{"A":15,"B":16,"C":17,"D":18},"回歸熱包氏螺旋體（Borrelia recurrentis）","伯納特柯克斯體（Coxiella burnetii）","恙蟲病東方體（Orientia tsutsugamushi）","鸚鵡披衣菌（Chlamydia psittaci）","A",null,[],"本題考點在於病媒與其對應傳播病原的配對。依流行性回歸熱的傳播途徑，回歸熱包氏螺旋體主要藉由人類體蝨叮咬(蝨體被壓破後病原經傷口侵入)而傳播，(A)正符合「體蝨傳播」，故選A。(B)伯納特柯克斯體(Q熱)主要經吸入受污染的氣霧或塵埃傳播;(C)恙蟲病東方體透過恙蟎(chigger)幼蟲叮咬傳播;(D)鸚鵡披衣菌則由接觸受感染鳥類的排泄物或吸入氣霧而感染，皆非體蝨媒介，故不選。","體蝨(body louse)是流行性斑疹傷寒(Rickettsia prowazekii)與流行性回歸熱的共同病媒，常見於戰亂、擁擠、衛生不良環境。回歸熱的特徵是週期性高燒與退燒交替，源於病原表面抗原不斷變異逃避免疫。病媒記憶對比:蝨→斑疹傷寒與回歸熱、蚤→鼠疫與地方性斑疹傷寒、蟎(chigger)→恙蟲病、蜱→萊姆病與立克次體，依節肢動物分類記最有效率。",[25,28,30,32],{"term":26,"count":27},"回歸熱包氏螺旋體",1,{"term":29,"count":27},"體蝨傳播",{"term":31,"count":27},"病媒",{"term":33,"count":27},"流行性回歸熱",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-3-basic-medicine-048","有關真菌分類以及其細胞結構，下列敘述何者最不適當？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-basic-medicine-044","下列何種自體免疫疾病是由免疫複合物媒介（第三型過敏反應）？",44,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-106-2-basic-medicine-008","下列有關男性生殖器官的敘述，何者錯誤？",8,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-basic-medicine-046","14 歲女性，無性經驗，因為最近幾個月出現不正常子宮出血而就醫。她初經是在 12 歲。下列何者是造成其不正常出血最可能的原因？",46,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-109-1-basic-medicine-010","下列何者不是上肢的淺層靜脈？",10,109,{"webId":61,"stem":62,"number":42,"year":63,"session":27},"nurse-110-1-basic-medicine-044","下列何者不是威爾森氏病（Wilson disease）的特徵？",110,"2026-09-04",1788510761359]