[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":27},"nurse-107-1-基礎醫學-033","nurse-107-1-basic-medicine-033",107,1,33,"在急性發炎，白血球發生外滲（extravasation）過程中，下列那一歩驟最先發生？",{"A":15,"B":16,"C":17,"D":18},"鋪道（pavement）","遷移（migration）","著邊（margination）","穿越（transmigration）","C",null,[],"本題考點是急性發炎中白血球外滲（extravasation）的步驟順序。依發炎病理，白血球離開血管的順序為：著邊（margination）→滾動與鋪道黏附（rolling\u002Fpavement）→穿越內皮（transmigration／diapedesis）→組織內遷移（migration），故最先發生者為著邊，選 C。鋪道（A）、穿越（D）、遷移（B）均在著邊之後。判斷關鍵在於記住白血球須先因血流變慢而「靠邊站」，才能後續黏附穿出。","白血球外滲級聯：血流淤滯使白血球邊移（margination）→選擇素（selectin）介導鬆散滾動→整合素（integrin）與 ICAM 緊密黏附（pavement）→經內皮間隙穿出（transmigration，PECAM-1）→沿化學趨化梯度遷移至發炎灶（chemotaxis，如 C5a、IL-8、LTB₄）。記憶順序「邊移→滾動→黏附→穿越→趨化」。此為急性發炎血管反應後的細胞反應主軸，常與紅腫熱痛等徵象合併命題。",[25,28,31,33],{"term":26,"count":27},"急性發炎",3,{"term":29,"count":30},"白血球外滲",2,{"term":32,"count":11},"著邊(margination)",{"term":34,"count":11},"選擇素\u002F整合素黏附級聯",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-1-basic-medicine-034","下列何種疾病表現的水腫與血液滲透壓（osmotic pressure）下降的關聯性最低？",34,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-107-2-basic-medicine-050","Clozapine 比典型抗精神病藥產生較少的中樞副作用（錐體外症狀, extrapyramidal syndromes），其原因為何？",50,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-basic-medicine-064","下列何種反轉錄酶（reverse transcriptase）抑制劑，不適用於人類免疫不全病毒（HIV）感染的治療？",64,108,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-109-2-basic-medicine-022","運動失調（ataxia）主要是因為腦部那一區域受損？",22,109,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-110-2-basic-medicine-066","下列何種補體的成分，可以活化吞噬細胞？",66,110,{"webId":60,"stem":61,"number":43,"year":62,"session":11},"nurse-112-1-basic-medicine-050","若 A 血型的人輸血給 B 血型的人，受血者因抗原刺激產生的抗體是屬於：",112,"2026-09-04",1788510701139]