[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-078":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":11},"nurse-109-2-基礎醫學-078","nurse-109-2-basic-medicine-078",109,2,78,"人類免疫不全病毒（HIV）可感染何種細胞，而造成免疫不全症候群？",{"A":15,"B":16,"C":17,"D":18},"CD4 T細胞","CD8 T細胞","CD20 B細胞","CD22 B細胞","A",null,[],"本題考點為 HIV 的主要標的細胞。依病毒受體結合機轉,HIV 的 gp120 醣蛋白專一結合 CD4 分子,並以趨化激素受體(CCR5 或 CXCR4)為輔受體,故主要感染帶有 CD4 的輔助性 T 細胞,選 A。B 的 CD8 為毒殺性 T 細胞、C 的 CD20 與 D 的 CD22 為 B 細胞標記,皆非 HIV 的主要進入門戶。考點在於辨識 CD4 為病毒受體,CD4 T 細胞被大量破壞後,細胞免疫崩解才導致後天免疫缺乏症候群(AIDS)與伺機性感染。","感染流程:gp120 結合 CD4→構型改變露出與 CCR5\u002FCXCR4 的結合位→gp41 介導膜融合。CD4 數目是病程指標:降至 \u003C200\u002FµL 進入 AIDS 期,易發 PCP 肺囊蟲肺炎、念珠菌食道炎、CMV 等伺機性感染。記憶:HIV 攻擊「免疫指揮官」CD4 輔助 T 細胞,指揮系統癱瘓故全面免疫失守;巨噬細胞、樹突細胞亦帶 CD4 可為病毒儲藏庫。",[25,27,30,32],{"term":26,"count":11},"CD4 T 細胞",{"term":28,"count":29},"人類免疫不全病毒",1,{"term":31,"count":29},"gp120 受體結合",{"term":33,"count":29},"後天免疫缺乏症候群",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-basic-medicine-079","有關流行性感冒病毒的敘述，下列何者錯誤？",79,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-110-2-basic-medicine-015","橫結腸不具下列何種構造？",15,110,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-111-1-basic-medicine-029","下列有關肌節（sarcomere）的明暗帶在肌肉收縮時的敘述，何者正確？",29,111,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-basic-medicine-047","下列關於產氣梭孢桿菌（Clostridium perfringens）的敘述，何者錯誤？",47,112,{"webId":55,"stem":56,"number":29,"year":57,"session":29},"nurse-114-1-basic-medicine-001","心肌的肌內質網主要受何者刺激而釋放鈣離子？",114,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-115-1-basic-medicine-045","有關化膿性鏈球菌（Streptococcus pyogenes）的敘述，下列何者錯誤？",45,115,"2026-09-04",1788510715410]