[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-068":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-107-1-基礎醫學-068","nurse-107-1-basic-medicine-068",107,1,68,"有關抗體的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"IgM 可以透過 alternative pathway 活化補體","IgG 可通過胎盤，進到嬰兒體內","在黏膜層，IgA 雙體（dimer）中和微生物或微生物分泌的毒素","IgG 的半衰期大約三週","A",null,[],"本題考點是各類免疫球蛋白的特性,屬反向題,問何者敘述錯誤。IgM 活化補體走的是傳統途徑(classical pathway),藉其五聚體結合抗原後 C1q 附著啟動,並非替代途徑(alternative pathway),故錯誤敘述為 A。B IgG 是唯一能通過胎盤給予胎兒被動免疫的抗體,正確;C 黏膜分泌型 IgA 以雙體形式中和微生物及毒素,正確;D IgG 血中半衰期約三週(約 21 天),為半衰期最長的免疫球蛋白,正確。","補體三途徑:傳統途徑由抗原-抗體複合物(IgM 最強、IgG 亦可)經 C1q 啟動;替代途徑由病原表面直接活化、不需抗體;凝集素途徑由 MBL 結合甘露糖啟動。IgM 為五聚體、初次感染最早出現、強力活化傳統途徑與凝集;IgG 為次級反應主力、能過胎盤、半衰期最長。記憶:『IgM=五聚體、走傳統途徑、打先鋒』。",[25,27,29,31],{"term":26,"count":11},"IgM 與傳統補體途徑",{"term":28,"count":11},"補體活化三途徑",{"term":30,"count":11},"IgG 過胎盤\u002F半衰期",{"term":32,"count":11},"分泌型 IgA",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-069","下列何者不屬於第三型過敏反應（Type III hypersensitivity）引起之疾病或反應？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-108-1-basic-medicine-005","下列何者含副鼻竇？",5,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-basic-medicine-019","若血壓維持不變，血管半徑變為原來的兩倍，此時流經此條血管的血流量將變為：",19,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-basic-medicine-057","Lorcaserin是透過刺激下列何種受體去抑制食慾，而達到減重效果？",57,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-021","下列何者可協助維生素 D（vitamin D）轉換為骨化三醇（calcitriol）？",21,111,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-112-2-basic-medicine-035","下列抗組織胺藥物中，何者可用於改善蕁麻疹（Urticaria）症狀，亦常用於預防暈車暈船？",35,112,"2026-09-04",1788510701546]