[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-023":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":27},"nurse-113-2-基礎醫學-023","nurse-113-2-basic-medicine-023",113,2,23,"下列何者與即發型過敏反應關聯性最小？",{"A":15,"B":16,"C":17,"D":18},"T H1 細胞","IgE 抗體","肥大細胞（mast cells）","嗜酸性球（eosinophils）","A",null,[],"本題考點在於第一型（即發型）過敏反應的細胞與分子成員，屬反向題。依免疫學分類，即發型過敏由 IgE 抗體致敏肥大細胞，遇過敏原交聯後脫顆粒釋出組織胺，並招募嗜酸性球，整體由 TH2 型免疫主導。TH1 細胞主導的是細胞內病原清除與遲發型（第四型）反應，與即發型關聯最小，故選 A。B IgE、C 肥大細胞、D 嗜酸性球皆為第一型過敏的核心參與者。","TH1 vs TH2 分工是免疫學經典對比：TH1 分泌 IFN-γ，活化巨噬細胞與 CD8，走細胞免疫與遲發型過敏；TH2 分泌 IL-4\u002F5\u002F13，促 B 細胞轉為產 IgE、活化嗜酸性球，走過敏與抗寄生蟲。即發型＝IgE＋肥大細胞＋TH2 軸，故 TH1 是局外人。氣喘、過敏性鼻炎、蕁麻疹皆屬此型。",[25,28,30,32],{"term":26,"count":27},"第一型即發型過敏",1,{"term":29,"count":27},"IgE 與肥大細胞",{"term":31,"count":27},"TH2 免疫",{"term":33,"count":27},"TH1 細胞免疫",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-basic-medicine-024","Familial breast and ovarian carcinoma syndrome 的突變基因為何？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-basic-medicine-020","下列何者源自骨髓細胞，而後遷移至中樞神經系統內成熟？",20,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-014","下列何種腦電波圖型，不會出現在健康成人睡眠的非快速動眼（non-rapid eye movement, NREM）時期？",14,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-basic-medicine-062","下列何種藥物作用不會增加體重？",62,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-026","關於紅血球的敘述，下列何者錯誤？",26,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-060","下列何種降血壓藥物，禁止用於孕婦？",60,108,"2026-09-04",1788510754068]