[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-111-2-內外科護理學-051","nurse-111-2-medical-surgical-051",111,2,51,"下列何者為與第一型立即性過敏反應有密切關聯的免疫球蛋白？",{"A":14,"B":15,"C":16,"D":17},"IgA","IgE","IgG","IgM","B",null,[],"本題考點為過敏反應與免疫球蛋白的對應。第一型(立即型)過敏反應由 IgE 媒介,IgE 附著於肥大細胞與嗜鹼性球表面,再次接觸過敏原時引發去顆粒、釋出組織胺等介質,故與第一型立即性過敏關聯最密切的是 IgE,選 B。A IgA 主要存在黏膜與分泌液中負責黏膜免疫;C IgG 是含量最多、可通過胎盤的抗體,主導第二、三型反應;D IgM 為初次免疫反應最早出現的抗體。故正解為 IgE。","Gell-Coombs 四型過敏反應對應機轉須熟記:第一型(立即型\u002F過敏性)—IgE 媒介,如過敏性鼻炎、氣喘、過敏性休克;第二型(細胞毒性)—IgG\u002FIgM 對細胞抗原,如輸血反應、新生兒溶血;第三型(免疫複合體)—抗原抗體複合物沉積,如全身性紅斑狼瘡、腎絲球腎炎;第四型(遲發型)—T 細胞媒介,如接觸性皮膚炎、結核菌素試驗。IgE 雖血中濃度最低,卻是過敏與抗寄生蟲的關鍵。記憶要訣:「E for Exposure\u002Fallergy(過敏)」。",[24,27,29,32],{"term":25,"count":26},"第一型過敏反應",7,{"term":28,"count":10},"Gell-Coombs 分類",{"term":30,"count":31},"IgE 免疫球蛋白",1,{"term":33,"count":31},"肥大細胞去顆粒",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-052","有關促進胸腔手術術後病人咳嗽的護理措施，下列何者最適當？",52,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-medical-surgical-068","一位 18 歲女性主訴最近發現全身皮膚起紅疹、口腔潰瘍、關節疼痛、偶有頭痛，另血紅素及血小板降低、抗核抗體升高，下列何者為其最可能之診斷？",68,112,{"webId":45,"stem":46,"number":10,"year":43,"session":47},"nurse-112-3-medical-surgical-002","有關癲癇病人發作時的護理措施，下列敘述何者錯誤？",3,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-113-3-medical-surgical-050","有關各類型休克其病理機轉是因血管擴張引起分布性（distributive）或稱血管性（vasogenic）休克，下列何者正確？①敗血性 ②低血容積性 ③過敏性 ④神經性 ⑤心因性",50,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-004","有關以格拉斯哥昏迷量表（GCS）測量病人意識程度變化之敘述，下列何者正確？",4,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-medical-surgical-068","有關腦下垂體前葉分泌之激素，不包括下列何者？",106,"2026-09-04",1788510738700]