[{"data":1,"prerenderedAt":70},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":39,"lastmod":69},"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-108-2-基礎醫學-066","nurse-108-2-basic-medicine-066",108,2,66,"有關第一型過敏反應（Type I hypersensitivity），下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"肥大細胞（mast cell）被過敏原刺激後，釋出組織胺（histamine）、前列腺素（prostaglandins）、白三烯素（leukotrienes）等物質造成氣管擴張，血管收縮","過敏性鼻炎以減敏療法（desensitization）治療可降低 IgE 但增加 IgG 的製造，以達到減少肥大細胞被過敏原刺激，所需時間長達一至兩年","避免接觸過敏原是最直接避免發生第一型過敏反應最好的方法","皮膚敏感測試（skin test）及測量血中總 IgE 與各過敏原專一性 IgE 是常用之檢測病患是否有第一型過敏疾病的方法","A",null,[],"本題考點為第一型過敏反應（Type I hypersensitivity）的化學介質效應。依免疫學，肥大細胞被過敏原經 IgE 交聯後去顆粒，釋出組織胺、前列腺素、白三烯素等，這些介質造成的是支氣管（氣管）平滑肌收縮與血管擴張、通透性增加，A 卻寫成『氣管擴張、血管收縮』方向全反，故為錯誤敘述，選 A。（B）減敏療法藉重複低劑量過敏原誘導 IgG 阻斷抗體、降低 IgE，療程長達一至兩年，正確。（C）避免接觸過敏原確為最直接的預防，正確。（D）皮膚測試與測血中總 IgE 及專一性 IgE 為標準診斷方法，正確。","Type I 反應介質效應可歸納為『收縮平滑肌、擴張血管、增加分泌與通透』：組織胺→血管擴張與癢，白三烯素（SRS-A）→強力且持久的支氣管收縮，前列腺素 D2→支氣管收縮。臨床過敏性休克的低血壓正源於血管『擴張』而非收縮，可作反例校正。記憶要訣：過敏＝『氣管縮、血管張』，A 選項把兩者對調正是最典型的方向性陷阱。",[25,28,31,34,37],{"term":26,"count":27},"第一型過敏反應",12,{"term":29,"count":30},"IgE",8,{"term":32,"count":33},"肥大細胞去顆粒",4,{"term":35,"count":36},"白三烯素支氣管收縮",1,{"term":38,"count":36},"減敏療法",[40,44,49,54,59,64],{"webId":41,"stem":42,"number":43,"year":10,"session":11},"nurse-108-2-basic-medicine-067","預防白喉可注射何種疫苗？",67,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-2-basic-medicine-003","下列何者參與形成骨盆膈（pelvic diaphragm），是支撐子宮的重要肌肉？",3,109,{"webId":50,"stem":51,"number":52,"year":53,"session":36},"nurse-110-1-basic-medicine-017","何時次級卵母細胞（secondary oocyte）會完成第二次減數分裂？",17,110,{"webId":55,"stem":56,"number":57,"year":58,"session":36},"nurse-111-1-basic-medicine-055","Buspirone 治療慢性泛焦慮症，主要透過下列何種受體？",55,111,{"webId":60,"stem":61,"number":62,"year":63,"session":47},"nurse-112-3-basic-medicine-029","下列何者是最常見的口腔癌？",29,112,{"webId":65,"stem":66,"number":67,"year":68,"session":36},"nurse-114-1-basic-medicine-023","KIT基因突變是下列那種腫瘤最常見的分子變化？",23,114,"2026-09-04",1788510705386]