[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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":23},"nurse-113-3-基礎醫學-045","nurse-113-3-basic-medicine-045",113,3,45,"法蘭西氏土倫桿菌（Francisella tularensis）可以在巨噬細胞內存活一段時間的主要原因為何？",{"A":15,"B":16,"C":17,"D":18},"抑制吞噬體-溶酶體（phagosome-lysosome）的融合","具有抗氧化的能力（anti-oxidants）","不具脂質莢膜（lipid capsule）","具有內毒素（endotoxin）","A",null,[],"本題考點在於胞內菌逃避吞噬殺菌的機轉。巨噬細胞殺菌仰賴吞噬體與溶酶體融合、以水解酶與活性氧殺死病原。法蘭西氏土倫桿菌（Francisella tularensis）能在巨噬細胞內存活，主要靠抑制吞噬體與溶酶體的融合，甚至逃逸至細胞質增殖，藉此躲過溶酶體酶的分解，選 A。選項 B 抗氧化能力雖可對抗活性氧、屬輔助機轉，但並非其在巨噬細胞內存活的「主要」原因；選項 C「不具脂質莢膜」敘述本身與胞內存活無因果，且方向錯誤；選項 D 內毒素是革蘭氏陰性菌外膜 LPS，主導的是發炎與敗血反應，並非幫助菌在吞噬細胞內存活的機制。",1,[25,29,33,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":30,"stem":31,"number":32,"year":28,"session":23},"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":34,"stem":35,"number":11,"year":28,"session":23},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",{"webId":37,"stem":38,"number":39,"year":28,"session":23},"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":28,"session":23},"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":28,"session":23},"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？",6,1783840771714]