[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-031","nurse-113-3-medical-surgical-031",113,3,31,"全身性紅斑性狼瘡屬於下列那一型之過敏反應？",{"A":14,"B":15,"C":16,"D":17},"第 I 型立即性","第 II 型細胞毒性","第 III 型免疫複合物","第 IV 型延遲型","C",null,[],"本題考點在於全身性紅斑性狼瘡(SLE)的過敏反應分型。依 Gell-Coombs 分類，SLE 患者體內產生大量自體抗體(如抗 dsDNA)與抗原結合形成免疫複合物，沉積於腎絲球、關節與血管壁引發補體活化與組織傷害，屬第 III 型免疫複合物反應，故選 C。第 I 型為 IgE 媒介的立即性過敏、第 II 型為抗體直接毒殺細胞、第 IV 型為 T 細胞媒介的延遲型反應，均與 SLE 主要機轉不符。","四型過敏可記為 ACID：I 型 Anaphylactic(IgE)、II 型 Cytotoxic(抗體對細胞)、III 型 Immune complex(免疫複合物沉積)、IV 型 Delayed(T 細胞)。SLE、鏈球菌後腎絲球腎炎與血清病同屬第 III 型，關鍵在於「抗原抗體複合物沉積後補體活化」造成廣泛組織發炎。",[24,27,30,32,34],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":29},"Gell-Coombs 分類",2,{"term":31,"count":29},"免疫複合物",{"term":33,"count":29},"補體活化",{"term":35,"count":36},"第 III 型過敏反應",1,[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-113-3-medical-surgical-032","王先生診斷肺癌接受放射線治療時，出現皮膚乾燥、發癢和脫皮情形，下列護理措施何者最適當？",32,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-114-2-medical-surgical-028","有關疥瘡的敘述，下列何者錯誤？",28,114,{"webId":48,"stem":49,"number":50,"year":51,"session":36},"nurse-115-1-medical-surgical-022","王老太太背部骨骼疼痛就醫，醫生懷疑是多發性骨髓瘤，請依序回答下列3題。下列何者為確定診斷的主要標準？",22,115,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-106-2-medical-surgical-040","有關造成大量凝血活酶釋入血液中，導致凝血因子全面活化，促使全身血管內凝血之情況，下列何者錯誤？",40,106,{"webId":58,"stem":59,"number":60,"year":61,"session":36},"nurse-108-1-medical-surgical-004","有關脊髓損傷所引起的神經性膀胱之敘述，下列何者正確？",4,108,{"webId":63,"stem":64,"number":65,"year":66,"session":36},"nurse-109-1-medical-surgical-038","有關食道靜脈曲張藥物治療之敘述，下列何者錯誤？",38,109,"2026-09-04",1788510752743]