[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-basic-medicine-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":11},"nurse-111-2-基礎醫學-024","nurse-111-2-basic-medicine-024",111,2,24,"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：",{"A":15,"B":16,"C":17,"D":18},"立即型過敏反應","抗體媒介過敏反應","免疫複合物媒介過敏反應","遲發型過敏反應","A",null,[],"本題考點為食物過敏的過敏反應分型。依免疫學，吃海鮮後迅速出現皮膚癢與蕁麻疹，屬 IgE 媒介的第一型（立即型）過敏反應，過敏原促使肥大細胞去顆粒釋放組織胺造成蕁麻疹，故選 A。B「抗體媒介」對應第二型（細胞毒殺型，如溶血）與題意不符；C 免疫複合物媒介為第三型（如血清病、腎絲球腎炎）；D 遲發型為第四型（T 細胞媒介，如接觸性皮膚炎），反應需數十小時，皆與此快速發作不符，故選 A。","Gell 與 Coombs 分型：第一型（IgE、立即，過敏性休克\u002F蕁麻疹）、第二型（IgG\u002FIgM 對細胞抗原，溶血）、第三型（免疫複合物沉積，血管炎\u002F腎炎）、第四型（T 細胞遲發，接觸性皮膚炎\u002F結核菌素反應）。食物與昆蟲叮咬過敏典型為第一型，反應在分鐘內出現。記憶「ACID」：Anaphylactic、Cytotoxic、Immune-complex、Delayed。",[25,27,29,32],{"term":26,"count":11},"肥大細胞與組織胺",{"term":28,"count":11},"Gell-Coombs 分型",{"term":30,"count":31},"立即型過敏",1,{"term":33,"count":31},"IgE 媒介",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-basic-medicine-025","關於唐氏症（Down syndrome）的敘述，下列何者錯誤？",25,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-112-2-basic-medicine-021","一位 18 歲男性因四肢水腫而就醫。他被發現有明顯蛋白尿和高血脂，但是腎臟功能和血壓均正常。腎臟切片的光學顯微鏡檢查顯示正常腎小球構造，但電子顯微鏡檢查發現足細胞（podocyte）突起消失。引起此病人水腫的最可能機轉為下列何者？",21,112,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-113-1-basic-medicine-015","下列何者是負責供應肝臟充氧血的血管？",15,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-2-basic-medicine-013","下列何者不是下運動神經元（lower motor neuron）損傷的表徵？",13,114,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-106-1-basic-medicine-017","在肌肉收縮與舒張過程（muscle contraction\u002Frelaxation cycle）中，ATP 結合於下列那一分子？",17,106,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-107-1-basic-medicine-051","Diazepam 與 GABA 受體結合後，會增加何種離子的傳導，使細胞膜穩定，而作為抗焦慮藥（anxiolytic drug）？",51,107,"2026-09-04",1788510737193]