[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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":27},"nurse-106-1-基礎醫學-067","nurse-106-1-basic-medicine-067",106,1,67,"大量產生腫瘤壞死因子-α（TNF-α）時不會引起下列何病症？",{"A":15,"B":16,"C":17,"D":18},"傷口癒合","休克","循環崩潰","出血性壞死","A",null,[],"本題考點在腫瘤壞死因子-α（TNF-α）大量釋放的病理效應。依 TNF-α 為促發炎細胞激素，大量產生時會引發全身性發炎、血管通透性上升與血壓下降，導致休克、循環崩潰及組織出血性壞死，故 B、C、D 皆是其後果。而傷口癒合屬組織修復與生長因子（如 TGF-β、VEGF）主導的建設性過程，並非 TNF-α 大量釋放所引起，過量 TNF-α 反而會妨礙癒合，故不會引起者選 A。","TNF-α 少量為局部防禦（發炎、殺腫瘤），大量則釀敗血性休克（惡病質 cachexia 亦與其相關）。對比：修復靠生長因子與 M2 巨噬細胞；破壞靠 TNF-α、IL-1 等促炎激素。",[25,28,30,32],{"term":26,"count":27},"敗血性休克",2,{"term":29,"count":11},"TNF-α",{"term":31,"count":11},"促發炎細胞激素",{"term":18,"count":11},[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-basic-medicine-068","下列何種結構存於細菌之細胞質內？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-107-1-basic-medicine-004","上頜骨不參與形成下列那個腔室？",4,107,{"webId":44,"stem":45,"number":46,"year":42,"session":27},"nurse-107-2-basic-medicine-018","下列何種毒素會抑制乙醯膽鹼酯酶（acetylcholinesterase, AChE）？",18,{"webId":48,"stem":49,"number":50,"year":51,"session":27},"nurse-108-2-basic-medicine-056","有關治療肺結核藥物 isoniazid 的藥理作用相關敘述，下列何者錯誤？",56,108,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-110-1-basic-medicine-020","二氧化碳在血液中運送的各種形式，其中比例最高的形式是下列何者？",20,110,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-111-1-basic-medicine-054","藥物在肝臟代謝的第一期（phase I）反應，不包括下列何者？",54,111,"2026-09-04",1788510691545]