[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-109-2-內外科護理學-047","nurse-109-2-medical-surgical-047",109,2,47,"有關遲發型過敏反應之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抗體與抗原結合形成免疫複合體，隨血液循環四處沉積所導致","器官移植後排斥反應屬此類過敏反應","可能因接觸化學物質，如染劑、藥物等物質刺激產生的過敏反應","病毒或細菌侵入後，刺激 T 細胞引發細胞性免疫反應","A",null,[],"本題考點是遲發型（第Ⅳ型）過敏反應的機轉，須找出「錯誤」項。考點在於辨識第Ⅳ型是由「致敏T淋巴球」介導的細胞性免疫、無抗體參與且反應延遲（約24–72小時）；A所述「抗體與抗原結合形成免疫複合體、隨血流沉積」是第Ⅲ型（免疫複合體型）的機轉，並非遲發型，故A錯誤。B正確，器官移植排斥反應屬第Ⅳ型細胞性免疫。C正確，接觸染劑、藥物等化學物質引起的接觸性皮膚炎是典型第Ⅳ型。D正確，病毒或細菌抗原刺激T細胞引發的細胞性免疫也屬此型。故唯一不符者為A。","Gell-Coombs四型記憶：Ⅰ型速發（IgE，過敏性休克、氣喘）、Ⅱ型細胞毒性（IgG\u002FIgM對細胞表面抗原，溶血、輸血反應）、Ⅲ型免疫複合體（抗原抗體沉積，SLE、血清病、腎絲球腎炎）、Ⅳ型遲發（T細胞，結核菌素試驗、接觸性皮膚炎、移植排斥）。Ⅰ–Ⅲ皆抗體介導、Ⅳ為細胞介導是核心分界。A的「免疫複合體沉積」屬Ⅲ，被錯置入Ⅳ即為誤答點。",[24,27,29,31],{"term":25,"count":26},"第IV型遲發型過敏",1,{"term":28,"count":26},"T細胞細胞性免疫",{"term":30,"count":26},"第III型免疫複合體",{"term":32,"count":26},"Gell-Coombs分類",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-048","成年病人燒傷面積：軀幹正面皮膚發紅且有大片水泡、右上肢前面皮膚呈現灰白色以及有水泡。依九的法則計算其燒傷總體表面積，下列何者正確？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-medical-surgical-064","有關膀胱癌的診斷檢查與治療，下列何者錯誤？",64,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-medical-surgical-078","下列何者為病人在休克進行期或不可逆期出現的表徵？",78,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-medical-surgical-036","有關異體周邊血液幹細胞移植之敘述，下列何者正確？",36,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-medical-surgical-030","有關鞏皮症臨床表徵之敘述，下列何者錯誤？",30,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-medical-surgical-024","下列何者不是放射線治療病人皮膚出現的急性反應？",24,114,"2026-09-04",1788510716722]