[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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":26},"nurse-112-3-基礎醫學-043","nurse-112-3-basic-medicine-043",112,3,43,"下列何種過敏反應主要是由 IgE 抗體所引起？",{"A":15,"B":16,"C":17,"D":18},"第一型過敏反應","第二型過敏反應","第三型過敏反應","第四型過敏反應","A",null,[],"本題考點在於 Gell-Coombs 過敏反應的分類。由 IgE 抗體媒介的過敏屬第一型（immediate hypersensitivity），抗原與肥大細胞表面 IgE 結合後促其去顆粒釋放組織胺，造成過敏性鼻炎、氣喘、蕁麻疹與過敏性休克，故選 A。B 的第二型為 IgG\u002FIgM 抗體攻擊細胞表面抗原（如溶血反應）。C 的第三型為抗原抗體免疫複合物沉積（如血清病）。D 的第四型為 T 細胞媒介的遲發型反應（如接觸性皮膚炎、結核菌素試驗）。三者媒介物質不同，故不選。","過敏四型記憶：第一型 IgE（immediate\u002Fanaphylactic）、第二型抗體毒殺（cytotoxic，IgG\u002FIgM）、第三型免疫複合物（immune complex）、第四型細胞媒介（cell-mediated\u002Fdelayed，T 細胞）。第一至三型皆由抗體媒介屬立即型，唯第四型由 T 細胞主導屬遲發型（24–72 小時）。口訣 ACID：Anaphylactic、Cytotoxic、Immune complex、Delayed。",[25,27,30,33],{"term":15,"count":26},12,{"term":28,"count":29},"肥大細胞去顆粒",4,{"term":31,"count":32},"IgE抗體",1,{"term":34,"count":32},"Gell-Coombs分類",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-044","下列何者並非葡萄球菌腸毒素引起的食物中毒之特徵？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-basic-medicine-040","有關克隆氏症（Crohn’s disease）之治療，下列那一個藥物屬於 TNF-α 抑制劑？",40,113,2,{"webId":47,"stem":48,"number":49,"year":50,"session":32},"nurse-114-1-basic-medicine-034","下列何種藥物可調節血清素（serotonin）神經傳遞系統，達到抗憂鬱效果？",34,114,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-115-2-basic-medicine-032","下列藥物中，何者無法用於治療廣角性青光眼？",32,115,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-107-1-basic-medicine-026","有一位病人的收縮壓為 120 毫米汞柱（mmHg），脈搏壓為 30 毫米汞柱，請問其平均動脈壓為多少毫米汞柱？",26,107,{"webId":62,"stem":63,"number":64,"year":65,"session":32},"nurse-108-1-basic-medicine-060","Beta 腎上腺素受體拮抗劑用於治療心律不整，主要的藥理機轉為何？",60,108,"2026-09-04",1788510744251]