[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-113-3-內外科護理學-029","nurse-113-3-medical-surgical-029",113,3,29,"有關免疫球蛋白特性之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"IgD 含量最多，能透過母乳提供新生兒免疫保護能力","IgA 可以預防呼吸道及腸胃道感染","IgE 會影響 B 細胞的分化","IgM 是免疫反應中最後出現的抗體","B",null,[],"本題考點在於各類免疫球蛋白的分布與功能。依免疫學，IgA 大量存在於呼吸道、腸胃道等黏膜分泌液中，形成分泌型 IgA 阻擋病原附著，可預防呼吸道與腸胃道感染，故選 B。A 錯在含量最多且能透過胎盤者為 IgG，經母乳提供者亦以 IgA 為主，並非 IgD；C 錯在 IgE 主司第一型過敏反應，與 B 細胞分化無關；D 錯在 IgM 為感染時最早出現的抗體，而非最後出現。","五類 Ig 可用口訣對比：IgG 血中最多、能過胎盤；IgA 守黏膜與母乳；IgM 分子最大、感染急性期最先登場；IgE 掌過敏與寄生蟲；IgD 功能未明、量最少。考點常拿「量最多」「最早出現」「胎盤\u002F母乳」等關鍵字互換設陷阱。",[24,27,30,32,34],{"term":25,"count":26},"免疫球蛋白",2,{"term":28,"count":29},"分泌型 IgA",1,{"term":31,"count":29},"黏膜免疫",{"term":33,"count":29},"IgG 胎盤傳輸",{"term":35,"count":29},"IgM 急性期抗體",[37,41,46,51,56,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-113-3-medical-surgical-030","有關類風濕性關節炎臨床表徵之敘述，下列何者錯誤？①症狀通常兩側對稱性地發生 ②活動後有僵硬的現象 ③通常侵犯大關節 ④可能造成腕隧道症候群",30,{"webId":42,"stem":43,"number":44,"year":45,"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":47,"stem":48,"number":49,"year":50,"session":29},"nurse-115-1-medical-surgical-020","下列何者為右心衰竭的臨床表徵？",20,115,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-106-2-medical-surgical-038","下列何種疾病有 90%的病人體內可發現費城染色體（Philadelphia chromosome）？",38,106,{"webId":57,"stem":58,"number":26,"year":59,"session":29},"nurse-108-1-medical-surgical-002","有關正子電腦斷層攝影術（Positron Emission Tomography, PET）的敘述，下列何者正確？",108,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-109-1-medical-surgical-036","有關靜脈導管 Port-A 之敘述，下列何者正確？①放置 Port-A 人工血管，須採全身麻醉方式 ②Port-A 導管可由腋靜脈放置到鎖骨下靜脈 ③注射起泡性藥物時，應測試是否有回血 ④注射藥物時，使用一般空針 90 度插入，以免發生外滲",36,109,"2026-09-04",1788510752713]