[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-109-1-基礎醫學-067","nurse-109-1-basic-medicine-067",109,1,67,"小鼠如果在出生後，立即切除胸腺（thymectomy），主要會影響那一種免疫反應？",{"A":15,"B":16,"C":17,"D":18},"補體的作用","毒殺 T 細胞的產生","樹狀突細胞呈現抗原的能力","巨噬細胞的吞噬作用","B",null,[],"本題考點是新生小鼠切除胸腺後受影響的免疫功能。胸腺（thymus）是 T 細胞成熟分化的場所，出生即切除將使 T 細胞無法發育，直接衝擊需 T 細胞介導的免疫反應，故毒殺 T 細胞（cytotoxic T cell）的產生受影響，選 B。A 補體屬先天免疫的血漿蛋白，不依賴胸腺。C 樹狀突細胞來自骨髓、其抗原呈現功能不需胸腺。D 巨噬細胞吞噬亦屬先天免疫，與胸腺無關。","T 細胞前驅由骨髓生成後遷入胸腺，經正／負向選擇成熟為 CD4 輔助與 CD8 毒殺 T 細胞。新生期胸腺切除（neonatal thymectomy）造成 T 細胞缺乏，細胞媒介免疫（CMI）崩解，包括 CTL 毒殺、遲發型過敏與對 T 依賴抗原的抗體協助。先天免疫（補體、巨噬細胞、樹突細胞吞噬呈現）由骨髓髓系供應，不受胸腺影響。記憶：胸腺＝T 細胞學校，拆校則 CTL 無法畢業。",[25,28,30,32],{"term":26,"count":27},"細胞媒介免疫",2,{"term":29,"count":11},"胸腺 T 細胞成熟",{"term":31,"count":11},"毒殺 T 細胞 CD8",{"term":33,"count":11},"先天免疫不依賴胸腺",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-1-basic-medicine-068","下列針對 Bacillus cereus 造成的疾病，何者正確？",68,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-110-1-basic-medicine-004","關於心臟腔室的敘述，下列何者錯誤？",4,110,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-110-2-basic-medicine-018","基底核（basal nuclei）功能受損或退化的症狀，下列何者最有關？",18,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-1-basic-medicine-006","將導管從頸內靜脈放置到上腔靜脈，過程中導管須穿過那條血管？",6,112,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-113-2-basic-medicine-010","傳導相鄰細胞間神經訊息的電性突觸是下列何種結構？",10,113,{"webId":59,"stem":60,"number":42,"year":61,"session":62},"nurse-114-3-basic-medicine-004","心包腔（pericardial cavity）是位於那兩層構造之間？",114,3,"2026-09-04",1788510711502]