[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-077":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-111-1-基礎醫學-077","nurse-111-1-basic-medicine-077",111,1,77,"補體活化後最終形成膜攻擊複合體（membrane attack complex, MAC）。下列何者較易受到這項防禦機制的作用而死亡？",{"A":15,"B":16,"C":17,"D":18},"B 型肝炎病毒（Hepatitis B virus）","奈瑟氏菌（Neisseria）","葡萄球菌（Staphylococcus）","鏈球菌（Streptococcus）","B",null,[],"本題考點在於補體膜攻擊複合體（MAC）對不同病原的殺傷差異。MAC由C5b-9組成，在標的膜上打孔造成滲透溶解，對「單層外膜、無厚肽聚糖保護」的革蘭氏陰性菌特別有效。奈瑟氏菌（Neisseria，B）為革蘭氏陰性雙球菌，其外膜易受MAC攻擊，臨床上補體末端成分（C5-C9）缺損者特別易反覆感染奈瑟氏菌，正說明此機轉，故B為本題答案。葡萄球菌（C）與鏈球菌（D）為革蘭氏陽性菌，厚肽聚糖層阻擋MAC插入。B型肝炎病毒（A）為有套膜病毒但非MAC主要溶殺對象。故最易被MAC致死者為奈瑟氏菌。",[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？",6,1783840768738]