[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-069":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-069","nurse-107-1-basic-medicine-069",107,1,69,"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？",{"A":15,"B":16,"C":17,"D":18},"血清病（serum sickness）","亞都司氏現象（Arthus reaction）","肺出血－腎炎綜合症（Goodpasture's syndrome）","系統性紅斑狼瘡之腎絲球腎炎（glomerulonephritis of lupus erythematosus）","C",null,[],"本題考點是過敏反應的分型辨識,屬反向題,問何者不屬第三型過敏反應。第三型過敏由可溶性抗原-抗體(免疫複合物)沉積於組織、活化補體引發發炎;肺出血-腎炎綜合症(Goodpasture's syndrome)是抗基底膜抗體直接攻擊肺泡與腎絲球基底膜,屬第二型(細胞毒性)過敏,故不屬第三型,選 C。A 血清病、B 亞都司氏現象、D 狼瘡性腎絲球腎炎皆為免疫複合物沉積所致,屬第三型,敘述無誤。","Coombs & Gell 四型過敏:第一型 IgE 即發型(過敏性休克、氣喘);第二型 IgG\u002FIgM 對細胞表面抗原的細胞毒性(Goodpasture、自體免疫溶血、輸血反應);第三型免疫複合物沉積(血清病、Arthus 反應、SLE 腎炎、鏈球菌後腎絲球腎炎);第四型 T 細胞介導遲發型(結核菌素試驗、接觸性皮膚炎)。記憶:『Goodpasture=抗基底膜抗體=第二型』,常與第三型的狼瘡腎炎做鑑別。",[25,27,29,31],{"term":26,"count":11},"第三型過敏(免疫複合物)",{"term":28,"count":11},"Goodpasture 症候群(第二型)",{"term":30,"count":11},"Coombs & Gell 分型",{"term":32,"count":11},"抗基底膜抗體",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-070","下列何者是李斯特菌（Listeria monocytogenes）主要傳染途徑？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-108-1-basic-medicine-006","下列何者直接與副睪相連？",6,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-basic-medicine-020","下列有關肌原纖維（myofibril）的敘述，何者正確？",20,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-basic-medicine-058","Amiodarone為治療心室心搏過速，合併左心室功能受損之首選用藥，下列何者不是長期使用此藥後的副作用？",58,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-basic-medicine-022","下列何者具有產生配子的功能？",22,111,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-112-2-basic-medicine-036","下列降血脂藥物中，何者可使脂肪組織血管內之脂蛋白脂解酶（lipoprotein lipase）生成量增加，而使血中三酸甘油脂濃度降低，主要用於治療高三酸甘油脂血症（hypertriglyceridemia）？",36,112,"2026-09-04",1788510701551]