[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":64},"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-109-2-基礎醫學-034","nurse-109-2-basic-medicine-034",109,2,34,"斯耶格雷症候群（Sjogren syndrome）的病理學變化，下列何者在唾液腺有大量浸潤？",{"A":15,"B":16,"C":17,"D":18},"嗜中性白血球","嗜酸性白血球","淋巴球","組織球","C",null,[],"本題考點是修格連氏症候群(Sjögren syndrome)的組織病理特徵。依自體免疫病理,此症是外分泌腺(尤以唾液腺與淚腺)受自體免疫攻擊,顯微鏡下可見大量淋巴球(以T淋巴球為主)浸潤腺體並破壞腺泡,導致口乾與眼乾,故正解C「淋巴球」。A嗜中性白血球浸潤是急性化膿性發炎(細菌感染)的表現,非本症慢性免疫特徵。B嗜酸性白血球增多見於過敏、寄生蟲感染,與此症不符。D組織球(巨噬細胞)為主的浸潤見於肉芽腫性發炎,亦非Sjögren的典型型態。故唾液腺內以淋巴球浸潤為特徵,選C。","Sjögren症候群:慢性自體免疫外分泌腺炎,典型三聯為乾眼(keratoconjunctivitis sicca)、口乾(xerostomia)與可併結締組織疾病(次發型常伴類風濕性關節炎、紅斑性狼瘡)。血清抗體anti-Ro(SSA)與anti-La(SSB)陽性,唇腺切片見淋巴球灶狀浸潤為診斷依據。長期可增加黏膜相關淋巴組織淋巴瘤(MALT lymphoma)風險。記憶:「乾眼乾口+淋巴球浸潤腺體+SSA\u002FSSB」。與Sjögren相關的另一題(041)雷諾氏+食道障礙則指向硬皮病,兩者鑑別在自體抗體與腺體病理。",[25,28,30,32,34],{"term":26,"count":27},"修格連氏症候群",1,{"term":29,"count":27},"淋巴球浸潤",{"term":31,"count":27},"自體免疫外分泌腺炎",{"term":33,"count":27},"anti-Ro\u002Fanti-La",{"term":35,"count":27},"唾液腺病理",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-035","性聯無伽瑪球蛋白血症（X-linked agammaglobulinemia）發病的主要原因，下列何者正確？",35,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-110-1-basic-medicine-051","阿司匹靈（Aspirin）與下列何種藥物併用會增加血中濃度，而使危險性提高？",51,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-065","有關真菌的敘述，下列何者錯誤？",65,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-003","下列何者不具細胞核？",3,112,{"webId":56,"stem":57,"number":58,"year":59,"session":53},"nurse-113-3-basic-medicine-007","聲帶（vocal cord）的前方連結在甲狀軟骨，請問後方連結在那一塊軟骨？",7,113,{"webId":61,"stem":62,"number":27,"year":63,"session":27},"nurse-115-1-basic-medicine-001","下列何種蛋白質屬於初級主動運輸子（active transporter）？",115,"2026-09-04",1788510715041]