[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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":27},"nurse-110-2-基礎醫學-067","nurse-110-2-basic-medicine-067",110,2,67,"如果在出生後立即切除胸腺，主要會影響下列何種免疫反應？",{"A":15,"B":16,"C":17,"D":18},"補體的作用","樹突細胞（dendritic cell）的抗原呈現","T 淋巴細胞的成熟分化","B 淋巴細胞產生 IgM 的能力","C",null,[],"本題考點為胸腺（thymus）在免疫發育中的角色。考點在於辨識 T 淋巴細胞須在胸腺內完成成熟與正、負選擇，故出生後立即切除胸腺，主要衝擊 T 淋巴細胞的成熟分化，導致細胞性免疫嚴重缺損，選 C。A 補體屬先天免疫的血漿蛋白，不在胸腺生成；B 樹突細胞來源與抗原呈現不倚賴胸腺成熟；D B 淋巴細胞在骨髓成熟並產生 IgM，雖部分抗體反應需 T 細胞協助，但其基本成熟不受胸腺切除直接影響，故非最主要者。","淋巴細胞成熟部位是核心考點：B 細胞在骨髓（bone marrow）成熟，T 細胞在胸腺（thymus）成熟，可用「B＝bone、T＝thymus」記憶。胸腺內進行正選擇（能辨識自身 MHC 者存活）與負選擇（對自身抗原強反應者淘汰），確立 T 細胞的 MHC 限制與自我耐受。新生時期切除會造成類似 DiGeorge 症候群的 T 細胞缺乏。可連結概念：CD4\u002FCD8 分化、胸腺退化與年齡、T 細胞依賴性抗體反應需 Th 協助。",[25,28,30,33,35],{"term":26,"count":27},"胸腺",4,{"term":29,"count":11},"正負選擇",{"term":31,"count":32},"T 淋巴細胞成熟",1,{"term":34,"count":32},"細胞性免疫",{"term":36,"count":32},"B 細胞骨髓成熟對照",[38,42,46,51,56,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-2-basic-medicine-068","婦女經期衛生棉條不潔，引起之毒性休克症候群（toxic shock syndrome），為下列何種細菌產生之毒素所引起的？",68,{"webId":43,"stem":44,"number":27,"year":45,"session":11},"nurse-111-2-basic-medicine-004","下列那一構造，不是完全由腹膜反摺構成的？",111,{"webId":47,"stem":48,"number":49,"year":50,"session":32},"nurse-112-1-basic-medicine-048","小兒麻痺病毒（polio virus）所引起的小兒麻痺曾經使人類引以為懼，但自有了疫苗後，對人類的威脅大為減低，對這二個疫苗，下列敘述何者正確？",48,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-basic-medicine-046","有關梅毒螺旋體（Treponema pallidum），下列敘述何者正確？",46,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-basic-medicine-050","有關傳染性蛋白質（prion）的特性，下列敘述何者最適當？",50,114,3,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-106-2-basic-medicine-014","支配骨骼肌的運動神經元細胞體是位於脊髓的何處？",14,106,"2026-09-04",1788510727901]