[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-051":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-110-2-內外科護理學-051","nurse-110-2-medical-surgical-051",110,2,51,"下列何者不屬於第Ⅰ型過敏反應？",{"A":14,"B":15,"C":16,"D":17},"接觸性皮膚炎","氣喘","枯草熱","異位性皮膚炎","A",null,[],"本題考點在Gell與Coombs過敏反應分型。第一型過敏由IgE媒介、肥大細胞釋放組織胺造成即發性反應,典型包括氣喘、枯草熱(過敏性鼻炎)與異位性皮膚炎,故選項B、C、D皆屬第一型。接觸性皮膚炎則由致敏T淋巴細胞媒介、屬第四型遲發性過敏,接觸過敏原後48至72小時才出現反應,機轉與IgE無關,故選項A不屬第一型,為本題答案。","四型過敏口訣ACID:第一型Anaphylactic(IgE、即發)、第二型Cytotoxic(IgG\u002FIgM對細胞,如輸血反應)、第三型Immune complex(免疫複合體沉積,如全身性紅斑狼瘡、腎絲球腎炎)、第四型Delayed(T細胞、遲發,如接觸性皮膚炎、結核菌素試驗)。第一型與第四型最常考鑑別:前者分鐘內發作、抗組織胺有效;後者需1至3天、屬細胞免疫。",[24,27,28,30,33],{"term":25,"count":26},"IgE",4,{"term":14,"count":10},{"term":29,"count":10},"Gell與Coombs分型",{"term":31,"count":32},"第一型過敏",1,{"term":34,"count":32},"第四型遲發過敏",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-052","當動脈氣體分析值為 pH：7.40、PaCO 2 ：42 mmHg、HCO 3 - ：24 mEq\u002FL、PaO 2 ：80 mmHg 時，有關病人呼吸器脫離（ventilator weaning）的敘述，下列何者正確？",52,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-medical-surgical-068","有關經尿道前列腺切除術的敘述，下列何者錯誤？",68,111,{"webId":46,"stem":47,"number":10,"year":48,"session":32},"nurse-112-1-medical-surgical-002","與阿茲海默症病人的溝通技巧，下列何者不適宜？",112,{"webId":50,"stem":51,"number":52,"year":48,"session":53},"nurse-112-3-medical-surgical-040","有關腎臟功能血液檢查，下列敘述何者正確？",40,3,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-114-1-medical-surgical-044","有關肢端肥大症之症狀，下列何者錯誤？",44,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-medical-surgical-038","有關良性前列腺肥大的敘述，下列何者正確？",38,115,"2026-09-04",1788510729285]