[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":40,"lastmod":68},"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-043","nurse-109-2-basic-medicine-043",109,2,43,"下列那一種細胞不參與過敏性氣喘？",{"A":15,"B":16,"C":17,"D":18},"T H 2 淋巴球（lymphocyte）","紅血球（red blood cell）","肥大細胞（mast cell）","嗜中性球（neutrophil）","B",null,[],"本題考點在於過敏性氣喘的免疫細胞組成。過敏性氣喘屬第一型過敏反應併慢性發炎,考點在於辨識哪些細胞參與:TH2淋巴球分泌IL-4、IL-5驅動IgE生成,肥大細胞被IgE架橋後釋放histamine造成支氣管收縮,嗜中性球則在嚴重型氣道發炎中出現,三者皆參與。反觀紅血球功能是攜氧與二氧化碳運輸,不具抗原辨識或發炎介質分泌能力,與過敏無關,故選B。A的TH2是核心指揮細胞、C的肥大細胞是即發相主角、D的嗜中性球屬重症氣喘發炎細胞,皆為錯誤選項,唯紅血球不參與。","氣喘發炎可分即發相(肥大細胞去顆粒,histamine、prostaglandin、leukotriene)與遲發相(嗜酸性球、嗜中性球浸潤)。TH2軸線是理解過敏的骨幹:IL-4\u002FIL-13促B細胞類別轉換成IgE,IL-5召募並活化嗜酸性球。記憶法「過敏四兵種」=肥大細胞、嗜酸性球、TH2、IgE,再加重症的嗜中性球;紅血球屬運輸系統而非免疫系統,是最容易一眼刷掉的誤答陷阱。可連結第一型過敏反應(anaphylactic type)與Gell-Coombs分類複習。",[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},"嗜中性球",4,{"term":35,"count":36},"肥大細胞",3,{"term":38,"count":39},"TH2淋巴球",1,[41,45,50,54,58,63],{"webId":42,"stem":43,"number":44,"year":10,"session":11},"nurse-109-2-basic-medicine-044","下列何者不是出血病症（bleeding disorder）之原因？",44,{"webId":46,"stem":47,"number":48,"year":49,"session":39},"nurse-110-1-basic-medicine-060","下列何種藥物是經由抑制多巴胺受體（dopamine receptor）而產生止吐作用，可用以治療化療藥物所造成之噁心嘔吐？",60,110,{"webId":51,"stem":52,"number":53,"year":49,"session":11},"nurse-110-2-basic-medicine-074","關於肉毒梭孢桿菌（Clostridium botulinum）感染之敘述，下列何者錯誤？",74,{"webId":55,"stem":56,"number":27,"year":57,"session":11},"nurse-112-2-basic-medicine-012","重症肌無力（Myasthenia Gravis）與下列何者之異常最相關？",112,{"webId":59,"stem":60,"number":61,"year":62,"session":36},"nurse-113-3-basic-medicine-016","當組織代謝活性（tissue metabolic activity）增加時不會引起下列何種反應？",16,113,{"webId":64,"stem":65,"number":66,"year":67,"session":39},"nurse-115-1-basic-medicine-010","負責消化道運動功能之主要結構組織層為下列何者？",10,115,"2026-09-04",1788510715132]