[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-065","nurse-109-2-basic-medicine-065",109,2,65,"當體細胞受到病毒感染後，主要啟動下列何種細胞的功能，可以有效的控制病情？",{"A":15,"B":16,"C":17,"D":18},"樹狀突細胞（dendritic cell）","CD8 T細胞","B細胞","肥大細胞","B",null,[],"本題考點在於病毒感染的細胞免疫防禦主力。考點在於細胞毒殺T細胞對受感染細胞的清除:體細胞受病毒感染後,會將病毒抗原以第一類MHC呈現,CD8 T細胞(細胞毒殺T細胞)辨識後釋放perforin與granzyme誘導感染細胞凋亡,直接清除病毒工廠而控制病情,故選B。A的樹狀突細胞主要負責抗原呈現與啟動,非直接殺傷。C的B細胞產生抗體,對已釋出的細胞外病毒有效,但無法清除細胞內病毒。D的肥大細胞與過敏及抗寄生蟲相關,非抗病毒主力。三者皆非清除受感染細胞的主角,唯CD8 T細胞為正解。","抗病毒免疫核心:受感染細胞以MHC I呈遞內源性病毒胜肽→CD8細胞毒殺T細胞辨識→perforin打孔、granzyme誘導凋亡;NK細胞則對MHC I下降的細胞補位。抗體(體液免疫)中和細胞外病毒、阻止再感染。記憶「細胞內病毒交給CD8,細胞外病毒交給抗體」。可連結MHC I\u002FII呈現、細胞毒殺機轉與NK細胞複習。",[25,28,30,32],{"term":26,"count":27},"CD8細胞毒殺T細胞",1,{"term":29,"count":27},"MHC I抗原呈現",{"term":31,"count":27},"病毒感染細胞清除",{"term":33,"count":27},"perforin\u002Fgranzyme",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-basic-medicine-066","下列何者是神經毒素？",66,{"webId":40,"stem":41,"number":11,"year":42,"session":11},"nurse-110-2-basic-medicine-002","小腿脛骨（tibia）的外形，屬於下列何種骨骼？",110,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-111-1-basic-medicine-016","下列何種神經節主要負責傳遞一般體表感覺訊息？",16,111,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-112-2-basic-medicine-034","Bupropion 除可當抗憂鬱藥物外，尚具有何項藥理功能？",34,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-basic-medicine-038","進行女性不孕症治療療程中，下列何種藥物最適合促進卵巢濾泡成熟？",38,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-115-1-basic-medicine-032","下列抗生素之敘述，何者最不適當？",32,115,"2026-09-04",1788510715305]