[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-112-1-基礎醫學-042","nurse-112-1-basic-medicine-042",112,1,42,"補體活化路徑中所產生的膜攻擊複合體（membrane attack complex）包含了下列何者？",{"A":15,"B":16,"C":17,"D":18},"C1","C3","C5a","C5b-9","D",null,[],"本題考點在於補體活化最終形成的膜攻擊複合體（membrane attack complex, MAC）組成。依補體級聯，MAC 由 C5b、C6、C7、C8 與多個 C9 聚合而成，即 C5b-9，在標的細胞膜上打孔造成溶解，故選 D。考點在於排除其他成分：A C1 屬古典途徑起始的辨識分子，非 MAC 成分；B C3 是三條途徑匯集的中心分子，其裂解產物參與調理與放大，但非 MAC 本體；C C5a 是 C5 裂解後釋出的過敏毒素與趨化因子，屬可溶性發炎介質而非膜孔複合體。故唯有 C5b-9 為膜攻擊複合體。","補體三途徑（古典、凝集素、替代）皆匯集於 C3 活化，再進入共同末端途徑組裝 C5b-9。C3a、C5a 為過敏毒素引起發炎與趨化；C3b 為調理素促吞噬。記憶點：MAC＝5b6789，「開孔溶菌」；小片段 a（C3a、C5a）＝發炎訊號。可連結補體缺陷疾病（如 C5-9 缺乏易感 Neisseria 感染）複習。",[25,28,30,31],{"term":26,"count":27},"過敏毒素 C3a\u002FC5a",2,{"term":29,"count":11},"膜攻擊複合體 MAC",{"term":18,"count":11},{"term":32,"count":11},"補體活化途徑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-043","下列何種疫苗是用活的微生物製備而成？",43,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-039","下列化療藥物中，何者主要使用於腦瘤治療？",39,3,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-113-2-basic-medicine-033","下列藥物中，何者無法改善幼兒之注意力缺損過動症（attention deficit hyperactivity disorder）？",33,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-basic-medicine-031","下列藥物中，何者為前驅藥物（prodrug）需要體內酵素代謝才會產生活性，但有些人可能因其代謝酵素活性較低，而使得該藥物之藥效減弱？",31,114,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-106-2-basic-medicine-005","有關兩性骨盆的比較，下列何者男性大於女性？",5,106,{"webId":59,"stem":60,"number":41,"year":61,"session":27},"nurse-107-2-basic-medicine-039","吸入下列何者最有可能導致間皮瘤（mesothelioma）？",107,"2026-09-04",1788510740841]