[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-1-內外科護理學-040","nurse-109-1-medical-surgical-040",109,1,40,"下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",{"A":14,"B":15,"C":16,"D":17},"鵝口瘡","帶狀疱疹","紅斑性狼瘡","疥瘡","C",null,[],"本題考點在於自體免疫性皮膚疾病的辨識。紅斑性狼瘡（SLE）為典型自體免疫疾病，免疫系統攻擊自身組織產生抗核抗體，出現臉部蝴蝶斑等急性發炎反應，且不具傳染性，完全符合題幹「自體免疫、急性炎症、不傳染」的描述，故選C。選項A鵝口瘡為白色念珠菌（黴菌）感染；選項B帶狀疱疹為水痘帶狀疱疹病毒再活化的病毒感染；選項D疥瘡為疥蟎寄生蟲感染，均屬具傳染性的感染性疾病，非自體免疫。故唯一符合自體免疫且不傳染者為紅斑性狼瘡。","SLE為第三型（免疫複合體）與多重機轉的全身性自體免疫病，抗核抗體（ANA）、抗ds-DNA為診斷標記，可侵犯皮膚、關節、腎（狼瘡腎炎）、血液與中樞神經。典型顴部蝴蝶斑、光敏感、口腔潰瘍。與感染性皮膚病（黴菌、病毒、寄生蟲）的核心差異在於「非病原體引起、不傳染」。治療以類固醇與免疫抑制劑調控過度免疫反應。",[24,27,30,32],{"term":25,"count":26},"自體免疫疾病",3,{"term":28,"count":29},"抗核抗體",2,{"term":31,"count":10},"紅斑性狼瘡SLE",{"term":33,"count":10},"不具傳染性",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-041","有關大面積重度燒傷初期（48 小時內），對於心臟血管系統造成的影響，下列何者錯誤？",41,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-057","一位被診斷為「疑似細菌性肺炎」的病人剛入院，最優先執行下列那一個醫囑？",57,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-071","有關糖化血色素（HbA1c）檢查之敘述，下列何者正確？",71,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-medical-surgical-073","有關第 1 型糖尿病之敘述，下列何者錯誤？",73,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-medical-surgical-037","下列何者最適合用於肺結核病人之診斷檢查？",37,113,"2026-09-04",1788510712671]