[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"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-051","nurse-109-2-medical-surgical-051",109,2,51,"下列何者不屬於第三型過敏性反應？",{"A":14,"B":15,"C":16,"D":17},"全身性紅斑狼瘡","類風濕性關節炎","溶血性反應","血清病","C",null,[],"本題考點是過敏反應分型的疾病歸類，須找出「不屬於」第Ⅲ型者。考點在於辨識第Ⅲ型是免疫複合體沉積型，代表疾病含全身性紅斑狼瘡、類風濕性關節炎、血清病、免疫複合體型腎絲球腎炎；而溶血性反應（如ABO不合輸血反應）屬第Ⅱ型細胞毒性反應，由抗體直接針對紅血球表面抗原、活化補體造成細胞溶解，故C不屬於第Ⅲ型。A的SLE、B的類風濕性關節炎、D的血清病均為第Ⅲ型免疫複合體疾病。故答案為C溶血性反應。","第Ⅱ型（細胞毒性）vs第Ⅲ型（免疫複合體）辨析：Ⅱ型抗體結合在「細胞表面固定抗原」造成該細胞被破壞，如溶血性輸血反應、自體免疫溶血性貧血、Graves病、重症肌無力、新生兒溶血；Ⅲ型抗原抗體在「循環中」形成複合體再沉積於組織，引發局部發炎，如SLE、類風濕性關節炎、血清病、鏈球菌後腎絲球腎炎、過敏性肺炎。記憶：「Ⅱ型打細胞、Ⅲ型丟垃圾（複合體沉積）」。溶血看到「紅血球被破壞」即歸Ⅱ型。",[24,27,29,30],{"term":25,"count":26},"第III型免疫複合體反應",1,{"term":28,"count":26},"第II型細胞毒性反應",{"term":16,"count":26},{"term":17,"count":26},[32,36,41,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-109-2-medical-surgical-052","有關吸入性肺炎之臨床症狀，下列何者須立即處理？",52,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-110-1-medical-surgical-068","有關愛迪生氏危機（Addisonian crisis）之特徵，下列何者正確？",68,110,{"webId":42,"stem":43,"number":10,"year":44,"session":26},"nurse-111-1-medical-surgical-002","有關病人已出現顱內壓升高的護理處置，下列敘述何者錯誤？",111,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-112-1-medical-surgical-040","有關癌症病人血小板減少症之處置，下列何者正確？",40,112,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",34,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-medical-surgical-028","有關疥瘡的敘述，下列何者錯誤？",28,114,"2026-09-04",1788510716763]