[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-basic-medicine-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-028","nurse-115-1-basic-medicine-028",115,1,28,"有關性傳播疾病（sexually transmitted infections, STIs）的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"梅毒乃由 Treponema pallidum 螺旋體（spirochete）造成","梅毒病理病變主要為富有嗜酸性白血球（eosinophil）之浸潤","性病淋巴肉芽腫（lymphogranuloma venereum）病理特徵常有星狀膿瘍（stellate abscess）","尖性濕疣（condyloma acuminata）與人類乳突病毒（HPV）感染有關","B",null,[],"本題考點在性傳染病的病理特徵辨識。依梅毒的組織學,不論一期硬性潰瘍或二期病灶,浸潤的主要細胞是漿細胞與淋巴細胞,並伴隨具特徵性的閉塞性內膜炎(obliterative endarteritis)——小血管內皮增生使管腔狹窄、周圍套疊漿細胞,而不是嗜酸性白血球浸潤;嗜酸性浸潤典型見於寄生蟲感染與過敏反應,故 B 的敘述錯誤。A 正確,梅毒病原為 Treponema pallidum,屬螺旋體。C 正確,性病淋巴肉芽腫由 Chlamydia trachomatis L1 至 L3 型引起,淋巴結內中央壞死的星狀膿瘍是典型病理。D 正確,尖性濕疣與 HPV 感染相關。","閉塞性內膜炎是把梅毒各期串起來的主軸:血管管腔狹窄造成組織缺血,因此三期可見樹膠腫(gummа 樣壞死性病灶)與梅毒性主動脈炎,後者侵犯升主動脈外膜的營養血管,造成主動脈瓣環擴張與動脈瘤。血清學要記兩軌並用:非梅毒螺旋體血清試驗(non-treponemal test,如 VDRL、RPR)反映活動性與治療反應,治療後效價會下降,但會有偽陽性;梅毒螺旋體專一性試驗(如 TPHA、FTA-ABS)確認曾受感染,治癒後仍終生陽性,因此不能用來追蹤療效。對照記憶:漿細胞加內膜炎想梅毒、星狀膿瘍想性病淋巴肉芽腫、挖空細胞(koilocyte)想 HPV。可延伸複習:先天性梅毒的 Hutchinson 齒與鞍鼻、二期梅毒手掌足底皮疹。",[25,27,29,31,33],{"term":26,"count":11},"梅毒漿細胞浸潤",{"term":28,"count":11},"閉塞性內膜炎",{"term":30,"count":11},"非梅毒螺旋體血清試驗",{"term":32,"count":11},"性病淋巴肉芽腫星狀膿瘍",{"term":34,"count":11},"HPV 與尖性濕疣",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-1-basic-medicine-029","第一型糖尿病最常見下列何種變化？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-106-1-basic-medicine-025","下列何者是生成睪固酮（testosterone）最主要的細胞？",25,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-basic-medicine-039","心肌梗塞約在發生多久時，會在病灶中產生明顯纖維化？",39,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-basic-medicine-077","下列何種肝炎病毒，主要經由飲食傳染？",77,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-1-basic-medicine-041","一位接受骨髓移植的病患，在術後數週後，皮膚出現皮疹，此皮膚症狀與下列何者最為相關？",41,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-1-basic-medicine-075","關於組織相容性複合體（MHC）的敘述，下列何者正確？",75,110,"2026-08-06",1787299087753]