[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":26},"nurse-110-1-基礎醫學-073","nurse-110-1-basic-medicine-073",110,1,73,"下列何種器官移植，較可能發生移植體對抗宿主疾病（graft-versus-host disease; GVHD）？",{"A":15,"B":16,"C":17,"D":18},"肝臟移植","心臟移植","骨髓移植","腎臟移植","C",null,[],"本題考點是移植體對抗宿主疾病(GVHD)的好發移植類型。依免疫學，GVHD是植入物中的免疫細胞(尤其T細胞)攻擊受贈者組織所致，因此含大量免疫細胞的骨髓(造血幹細胞)移植最易發生，故選C。肝臟、心臟、腎臟等實質器官移植主要面臨的是宿主排斥移植物，所帶的免疫細胞遠少於骨髓，不易引起GVHD。故答案為C。","方向對比：一般器官移植是宿主免疫攻擊移植物(host-versus-graft，即排斥)，GVHD則方向相反，是移植物內的供者T細胞攻擊免疫功能低下的宿主。GVHD三要件：移植物含免疫活性細胞、宿主與供者組織抗原不合、宿主免疫無法排除移植物。骨髓移植前的化放療使宿主免疫被清除，恰好構成此條件。",[25,27,29,31,33],{"term":17,"count":26},2,{"term":28,"count":11},"移植體對抗宿主疾病",{"term":30,"count":11},"供者T細胞",{"term":32,"count":11},"組織相容性",{"term":34,"count":11},"宿主排斥對比",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-1-basic-medicine-074","五大主要類型的免疫球蛋白（immunoglobulin）具有不同的性質與功能，下列敘述何者正確？",74,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-111-1-basic-medicine-010","卵巢排卵（ovulation）時，卵母細胞（oocyte）的減數分裂（meiosis），停留在那一時期？",10,111,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-111-2-basic-medicine-024","18 歲的男病人至醫院門診，表示自己吃了海鮮後皮膚癢且出現蕁麻疹，此病人最有可能發生：",24,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-1-basic-medicine-022","下列何者不是心因性休克病患常見的臨床表現？",22,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-2-basic-medicine-026","3 歲男性，右側睪丸有一個腫瘤，抽血發現血清中的甲型胎兒蛋白（α -fetoprotein）異常升高，他的睪丸腫瘤最可能是那一種？",26,114,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-106-1-basic-medicine-020","下列自主神經傳導物質接受器之作用，何者會引起皮膚及腹腔內臟的血管收縮？",20,106,"2026-09-04",1788510719770]