[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-112-1-內外科護理學-047","nurse-112-1-medical-surgical-047",112,1,47,"有關細胞毒殺過敏反應之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"參與此類過敏反應的抗體是 IgG 或 IgM","Rh 血型不合屬此類過敏反應","參與此類過敏反應的細胞是吞噬細胞及殺手細胞","紅血球、白血球、血小板的作用不受此類過敏反應影響","D",null,[],"本題考點在於第二型（細胞毒殺型）過敏反應的機轉，屬反向題。錯誤敘述為 D：第二型過敏反應正是以抗體攻擊細胞表面抗原、經補體或吞噬作用破壞紅血球、白血球、血小板等血球，故稱這些血球「不受影響」與定義相反，選 D。A 正確，參與抗體為 IgG 或 IgM；B 正確，Rh 血型不合導致的溶血屬典型第二型反應；C 正確，經抗體標定後由吞噬細胞及自然殺手細胞執行 ADCC（抗體依賴性細胞毒殺）破壞標的細胞。","四型過敏對照可強化記憶：第一型 IgE 即發型（過敏性休克）、第二型 IgG\u002FIgM 細胞毒殺（溶血、輸血反應、ITP）、第三型免疫複合體沉積（SLE、血清病）、第四型 T 細胞遲發型（結核菌素試驗、接觸性皮膚炎）。第二型臨床實例包含 ABO\u002FRh 輸血反應、新生兒溶血症、自體免疫溶血性貧血，核心是抗體直接針對細胞表面抗原。",[24,27,29,31,33],{"term":25,"count":26},"第二型過敏反應",2,{"term":28,"count":10},"IgG\u002FIgM",{"term":30,"count":10},"抗體依賴細胞毒殺",{"term":32,"count":10},"Rh 血型不合",{"term":34,"count":10},"血球破壞",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-048","有關器官移植前的組織配對，降低排斥反應之檢驗項目，不包含下列何者？",48,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-112-2-medical-surgical-064","下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",64,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-028","有關氣爆引發四度熱燒傷的健康問題，下列何者較不常發生？",28,113,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-114-2-medical-surgical-026","承上題，有關王先生的護理與處置，下列何者正確？",26,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-030","有關腹主動脈瘤病人的護理措施，下列何者錯誤？",30,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-medical-surgical-064","有關急性腎絲球腎炎之敘述，下列何者錯誤？",107,"2026-09-04",1788510742115]