[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-050","nurse-109-2-medical-surgical-050",109,2,50,"有關全身性紅斑性狼瘡之致病機轉，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是一種遲發性過敏反應 T 細胞造成的過敏反應","是一種人體產生對抗自己本身抗體所引發的過敏反應","此過敏反應主要介質是 IgE","主要是抗體對抗外在過敏原所產生的過敏反應","B",null,[],"本題考點是全身性紅斑性狼瘡（SLE）的致病機轉。考點在於辨識SLE屬自體免疫疾病，人體產生對抗「自身組織成分」的自體抗體（如抗核抗體、抗dsDNA），這些抗體與自體抗原形成免疫複合體沉積於組織引發發炎損傷，故選B。A所述遲發性T細胞過敏是第Ⅳ型機轉，非SLE主軸。C所述以IgE為主要介質是第Ⅰ型速發過敏，與SLE無關。D所述抗體對抗「外在過敏原」方向錯誤，SLE的關鍵正是抗體攻擊「自身」而非外來抗原。故唯一正確為B。","SLE病生理：B細胞失調產生大量自體抗體，抗原抗體免疫複合體沉積於腎絲球、皮膚、關節、血管壁，活化補體引發第Ⅲ型過敏性發炎，故補體（C3、C4）常下降、抗dsDNA上升。典型表現：頰部蝴蝶斑、光敏感、關節炎、狼瘡腎炎、漿膜炎。護理重點：防曬避免誘發、感染預防（免疫抑制治療）、監測腎功能。記憶：「SLE＝自己打自己（自體抗體）、複合體到處沉積」。與類風濕性關節炎、血清病同屬第Ⅲ型代表疾病。",[24,27,30,33],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":29},"免疫複合體沉積",4,{"term":31,"count":32},"自體抗體",1,{"term":34,"count":32},"第III型過敏反應",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-medical-surgical-051","下列何者不屬於第三型過敏性反應？",51,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-medical-surgical-067","有關良性前列腺肥大的合併症，下列何者錯誤？",67,110,{"webId":46,"stem":47,"number":32,"year":48,"session":32},"nurse-111-1-medical-surgical-001","有關病人心智狀態評估內容的敘述，下列何者錯誤？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-medical-surgical-039","有關癌症分期系統類型之敘述，下列何者錯誤？",39,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-113-1-medical-surgical-033","周先生為氣喘病人，使用藥物後，出現「心悸、心律不整」的反應，最可能導致此反應的藥物為下列何者？",33,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-medical-surgical-027","有關腫瘤溶解症候群之處置，下列何者錯誤？",27,114,"2026-09-04",1788510716759]