[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-108-1-基礎醫學-075","nurse-108-1-basic-medicine-075",108,1,75,"下列何者與 CD8 T 細胞的作用較無關？",{"A":15,"B":16,"C":17,"D":18},"清除腫瘤細胞","清除病毒感染的細胞","分泌多種細胞激素幫助產生抗體","誘發標的細胞（target cells）的細胞凋亡","C",null,[],"本題考點在細胞毒性 CD8 T 細胞的功能範疇。CD8 T 細胞辨識受 MHC 第一類呈現的內源性抗原，主要負責直接殺傷；依此判斷 C『分泌多種細胞激素幫助產生抗體』並非其主要角色，那是 CD4 輔助 T 細胞協助 B 細胞的功能，故選 C 為最無關者。A 清除腫瘤細胞是 CD8 的重要功能。B 清除病毒感染的細胞正是 CD8 辨識受感染細胞後將之毒殺。D 誘發標的細胞凋亡，CD8 藉穿孔素\u002F顆粒酶與 Fas-FasL 途徑誘導目標細胞凋亡，皆屬 CD8 功能，唯輔助抗體生成非其職。","T 細胞分工記憶：CD8⁺ 細胞毒性 T（辨識 MHC I，殺內源性抗原表現的細胞——病毒感染細胞與腫瘤細胞，經穿孔素\u002F顆粒酶與 Fas-FasL 誘導凋亡）；CD4⁺ 輔助 T（辨識 MHC II，分泌細胞激素協助 B 細胞產生抗體、活化巨噬細胞、協調免疫）。口訣『8×1=8，8 配 I 類；4×2=8，4 配 II 類』。協助抗體生成靠的是 CD4 中的 Th2 與濾泡輔助 T（Tfh），故 C 明顯偏離 CD8 職責。",[25,28,30,32,34],{"term":26,"count":27},"CD4 輔助 T 細胞",2,{"term":29,"count":11},"CD8 細胞毒性 T 細胞",{"term":31,"count":11},"MHC 第一類",{"term":33,"count":11},"穿孔素與顆粒酶",{"term":35,"count":11},"抗體協助",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-1-basic-medicine-076","關於白喉桿菌（Corynebacterium diphtheriae ）的敘述，下列何者正確？",76,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-109-1-basic-medicine-012","下列有關膽囊的敘述何者正確？",12,109,{"webId":47,"stem":48,"number":49,"year":45,"session":27},"nurse-109-2-basic-medicine-026","18歲女性外表，沒有月經，性染色體為XY，其細胞對雄性素不敏感，在此病人所表現的病徵中，下列何者是因為缺乏雄性素接受器所造成？",26,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-110-2-basic-medicine-064","抗癌藥物中，下列何者有明顯的周邊神經毒性與肝毒性？",64,110,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-112-2-basic-medicine-008","分泌鹼性黏液之布氏腺（Brunner’s glands）主要位於消化道何處？",8,112,{"webId":61,"stem":62,"number":27,"year":63,"session":64},"nurse-113-3-basic-medicine-002","下列何者受坐骨神經（sciatic nerve）支配？",113,3,"2026-09-04",1788510708724]