[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"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":27},"nurse-114-3-基礎醫學-043","nurse-114-3-basic-medicine-043",114,3,43,"面對胞外細菌感染時，下列那種效應 CD4 + T 細胞對強化嗜中性球驅化反應貢獻較大？",{"A":15,"B":16,"C":17,"D":18},"T H 1","T H 2","T H 17","Treg","C",null,[],"本題考點在於輔助型T細胞亞群對抗胞外細菌的分工。依各亞群的效應細胞激素判斷，TH17會分泌IL-17與IL-22，強力誘導上皮與內皮釋放趨化因子，招募並活化嗜中性球到感染部位，對清除胞外細菌與黴菌的貢獻最大，故選(C)TH17。(A)TH1分泌IFN-γ，主活化巨噬細胞對抗胞內菌;(B)TH2分泌IL-4、IL-5，對抗寄生蟲並參與過敏;(D)Treg分泌IL-10、TGF-β以抑制免疫反應，皆非強化嗜中性球驅化的主力。","TH17軸(IL-23\u002FIL-17)是黏膜屏障對抗胞外菌與念珠菌的關鍵；此路徑缺陷者易反覆黏膜念珠菌感染。臨床上IL-17抑制劑(如secukinumab)用於乾癬與僵直性脊椎炎，反證此軸的促發炎角色。記憶對比：TH1打胞內、TH2打寄生蟲與過敏、TH17招嗜中性球打胞外、Treg踩煞車維持耐受，四者依細胞激素各司其職。",[25,28,31,33,35],{"term":26,"count":27},"輔助型T細胞",2,{"term":29,"count":30},"TH17",1,{"term":32,"count":30},"IL-17",{"term":34,"count":30},"嗜中性球趨化",{"term":36,"count":30},"胞外細菌",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-114-3-basic-medicine-044","有關過敏反應，下列何者不是由抗體引起？",44,{"webId":43,"stem":44,"number":45,"year":46,"session":27},"nurse-115-2-basic-medicine-040","下列單株抗體藥物中，何者可抑制上皮生長因子受體（epidermal growth factor receptor, EGFR）之作用，用於治療癌症？",40,115,{"webId":48,"stem":49,"number":50,"year":51,"session":27},"nurse-106-2-basic-medicine-004","下列頭顱骨骼，何者負責與頸椎形成關節？",4,106,{"webId":53,"stem":54,"number":55,"year":56,"session":27},"nurse-107-2-basic-medicine-042","缺血性腸病（ischemic bowel disease）中，發生全腸壁性梗塞（transmural infarction）最主要的原因為何？",42,107,{"webId":58,"stem":59,"number":60,"year":61,"session":30},"nurse-109-1-basic-medicine-006","下列何者是由數層濾泡細胞及有液體之濾泡腔組成，其內並包含一個初級卵母細胞？",6,109,{"webId":63,"stem":64,"number":45,"year":65,"session":30},"nurse-110-1-basic-medicine-040","骨質疏鬆症（osteoporosis）與下列那一徵候較無關？",110,"2026-09-04",1788510761319]