[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-115-1-基礎醫學-027","nurse-115-1-basic-medicine-027",115,1,27,"下列何種病毒不會造成慢性肝炎？",{"A":15,"B":16,"C":17,"D":18},"A 型肝炎病毒（hepatitis A virus）","B 型肝炎病毒（hepatitis B virus）","C 型肝炎病毒（hepatitis C virus）","D 型肝炎病毒（hepatitis D virus）","A",null,[],"本題考點是各型肝炎病毒的傳染途徑與是否會慢性化。依病毒學分類，A 型肝炎病毒屬無外套膜的 RNA 病毒，經糞口途徑傳播，感染後為自限性急性肝炎，可能出現猛爆性肝炎，但不會進展為帶原狀態或慢性肝炎，故選 A。B 型肝炎病毒為 DNA 病毒，經血液與體液、母嬰垂直傳染，嬰幼兒期感染慢性化比率高。C 型肝炎病毒經血液傳染，慢性化比率最高，是肝硬化與肝癌重要成因。D 型肝炎病毒為缺陷病毒，須依附 B 型肝炎表面抗原，與 B 型共同或重疊感染時反而加重慢性肝病。","口訣是「母音不慢性」：A 型與 E 型（元音開頭）走糞口、急性自限；B、C、D 走血液體液、可慢性化。要注意 E 型在免疫低下者（如器官移植病人）有慢性化的例外報告，但國考層級仍以「不慢性化」作答。延伸機轉：慢性化與病毒能否在肝細胞內持續複製有關，B 型以 cccDNA 長期潛存於細胞核，C 型則靠 RNA 聚合酶高突變率逃脫免疫辨識，所以 C 型難以做出疫苗但可用直接抗病毒藥治癒；B 型有疫苗但難根除。D 型的缺陷特性也直接推論出「打 B 肝疫苗就能預防 D 肝」。可連結概念：HBsAg、anti-HCV、cccDNA、猛爆性肝炎。",[25,27,29,31],{"term":26,"count":11},"A 型肝炎糞口傳播",{"term":28,"count":11},"自限性急性肝炎",{"term":30,"count":11},"B\u002FC 型肝炎慢性化",{"term":32,"count":11},"D 型肝炎缺陷病毒",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-1-basic-medicine-028","有關性傳播疾病（sexually transmitted infections, STIs）的敘述，下列何者錯誤？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-106-1-basic-medicine-024","下列何時期，血液中雌激素與黃體素濃度接近懷孕初期之濃度？",24,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-basic-medicine-038","有關法洛氏四重症（Tetralogy of Fallot）的病理變化，何者錯誤？",38,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-basic-medicine-076","下列何者不屬於表淺性黴菌病（superficial mycosis）？",76,107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-109-1-basic-medicine-040","一位中年男性於月前發生腦梗塞後，醫師在後續電腦斷層掃描檢查時，在皮質部發現一個囊狀的區域，這個變化最可能造成原因是腦組織發生：",40,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-110-1-basic-medicine-074","五大主要類型的免疫球蛋白（immunoglobulin）具有不同的性質與功能，下列敘述何者正確？",74,110,"2026-08-06",1787299087736]