[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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,"freq":11},"nurse-107-1-基礎醫學-074","nurse-107-1-basic-medicine-074",107,1,74,"回歸熱疏螺旋體（Borrelia recurrentis）在人體引發重覆性的發燒、好轉，主要的原因為何？",{"A":15,"B":16,"C":17,"D":18},"宿主的自體免疫反應","此菌在宿主體內能夠進行抗原變異，再度造成疾病","此菌會間歇性的釋放出引起宿主發燒的外毒素","此菌會間歇性的抑制宿主之免疫反應，故宿主時好時壞","B",null,[],"本題考點為回歸熱疏螺旋體（Borrelia recurrentis）造成『發燒—退燒—再發燒』週期性病程的機轉。依免疫學,此菌表面帶可變的主要表面脂蛋白（VMP\u002FVlp 抗原變異系統),當宿主產生抗體壓制某抗原型的菌群使發燒緩解後,菌體透過基因重組更換表面抗原,逃脫既有抗體再度大量增殖,引發下一波菌血症與發燒,如此反覆,故選 B。A 錯,病程非自體免疫所致而是病原本身抗原變異。C 錯,週期性發燒源於抗原變異的免疫逃脫而非間歇釋放外毒素;螺旋體致病也非以外毒素為主。D 錯,菌並非主動抑制宿主免疫,而是靠變裝躲避已成形的抗體。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":37,"stem":38,"number":39,"year":27,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":27,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":27,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840739607]