[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-基礎醫學-023","nurse-114-2-basic-medicine-023",114,2,23,"下列何種自體抗體（autoantibody）與全身性紅斑性狼瘡（systemic lupus erythematosus）最相關？",{"A":15,"B":16,"C":17,"D":18},"抗核抗體（anti-nuclear antibody）","抗肌動蛋白抗體（anti-actin antibody）","抗粒線體抗體（anti-mitochondrial antibody）","抗嗜中性球細胞質抗體（anti-neutrophil cytoplasmic antibody）","A",null,[],"本題考點在於自體免疫疾病的特異性抗體。依自體抗體診斷準則,抗核抗體(ANA)是全身性紅斑性狼瘡(SLE)最敏感、最相關的篩檢抗體,幾乎所有 SLE 病人皆為陽性,故選 A。B 抗肌動蛋白抗體與自體免疫肝炎相關;C 抗粒線體抗體(AMA)是原發性膽汁性膽管炎的標記;D 抗嗜中性球細胞質抗體(ANCA)與血管炎(如肉芽腫性多血管炎)相關。ANA 雖敏感度高但特異性較低,SLE 更專一者為抗 dsDNA 與抗 Sm 抗體。故正解為 A。","抗體地圖:SLE—ANA(篩檢)、anti-dsDNA(疾病活性、腎炎)、anti-Sm(特異性最高);抗磷脂抗體與血栓相關。ANA 為間接免疫螢光染色,是自體免疫病的首要篩檢工具,陽性再依臨床與特異抗體確診。",[25,28,30,32],{"term":26,"count":27},"抗核抗體 ANA",1,{"term":29,"count":27},"全身性紅斑性狼瘡",{"term":31,"count":27},"anti-dsDNA",{"term":33,"count":27},"自體抗體",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-basic-medicine-024","下列那一種人類病原體的大小（size）最小？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-115-1-basic-medicine-020","下列那兩種神經膠細胞（glia cells）會形成髓鞘（myelin sheath）？",20,115,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-106-1-basic-medicine-014","下列那一構造發生腫瘤時，經常會壓迫到顏面神經？",14,106,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-107-1-basic-medicine-052","下列何者是治療恐慌症（panic disorders）之首選用藥？",52,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-basic-medicine-016","下列對於滑車神經（trochlear nerve）的敘述，何者錯誤？",16,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-basic-medicine-050","下列抗心律不整的藥物，何者會延長動作電位的間期，且甲狀腺機能異常者需小心使用？",50,109,"2026-09-04",1788510758718]