[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-107-2-basic-medicine-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":67},"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-107-2-基礎醫學-067","nurse-107-2-basic-medicine-067",107,2,67,"個體受到細菌感染時，下列何種細胞最早聚集在感染部位？",{"A":15,"B":16,"C":17,"D":18},"自然殺手細胞（natural killer cell）","淋巴細胞（lymphocyte）","巨噬細胞（macrophage）","多型核白血球（polymorphonuclear leukocyte）","D",null,[],"本題考點在於急性發炎細胞聚集的時序。依病理學，細菌感染引發急性發炎時，最早、最大量趨化至感染部位的是多型核白血球（polymorphonuclear leukocyte，即嗜中性球），故選 D。A 錯，自然殺手細胞主要對付病毒感染與腫瘤細胞，非細菌急性發炎首發。B 錯，淋巴細胞屬適應性免疫，反應較慢、於後期參與。C 錯，巨噬細胞雖重要，但在急性期是隨後接手清理的第二波，抵達時間晚於嗜中性球。","急性發炎細胞進場順序口訣「先嗜中性球、後單核／巨噬」：嗜中性球數小時內即到、壽命短（1–2 天）；巨噬細胞 1–2 天後接手並轉為慢性發炎主角。趨化梯度由 C5a、IL-8（CXCL8）、LTB4、細菌 formyl-peptide 引導。嗜中性球核呈分葉（多型核）故得名，胞內顆粒富含髓過氧化酶與溶菌酶，是化膿（pus）的主要成分。",[25,28,31,34,36],{"term":26,"count":27},"嗜中性球",4,{"term":29,"count":30},"急性發炎",3,{"term":32,"count":33},"多型核白血球",1,{"term":35,"count":33},"趨化作用",{"term":37,"count":33},"發炎細胞時序",[39,43,47,52,57,62],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-107-2-basic-medicine-068","有關人類主要組織相容性複合體（MHC）分子的敘述，下列何者正確？",68,{"webId":44,"stem":45,"number":27,"year":46,"session":11},"nurse-108-2-basic-medicine-004","下列何者附著於肱骨的內上髁（medial epicondyle）？",108,{"webId":48,"stem":49,"number":50,"year":51,"session":33},"nurse-109-1-basic-medicine-018","下列何者不是下視丘的主要功能？",18,109,{"webId":53,"stem":54,"number":55,"year":56,"session":33},"nurse-110-1-basic-medicine-056","下列何者不是 phenytoin 的副作用？",56,110,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-111-2-basic-medicine-020","口渴時，腎小管增加水分再吸收的機轉為下列何者？",20,111,{"webId":63,"stem":64,"number":65,"year":66,"session":33},"nurse-113-1-basic-medicine-014","右心室的腱索（chordae tendineae）固著在下列何處？",14,113,"2026-09-04",1788510723928]