[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-basic-medicine-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-114-3-基礎醫學-044","nurse-114-3-basic-medicine-044",114,3,44,"有關過敏反應，下列何者不是由抗體引起？",{"A":15,"B":16,"C":17,"D":18},"異位性皮膚炎","青黴素所引起的過敏反應","接觸常春藤植物葉片造成的皮膚炎","RhD 血型不同所造成的新生兒溶血","C",null,[],"本題考點在於過敏反應的分型與媒介機制，為反向題，須找出「非抗體引起」者。依Gell-Coombs分型，接觸常春藤葉片造成的皮膚炎屬第四型遲發性過敏，由致敏的T細胞與巨噬細胞媒介、與抗體無關，故(C)為正解。其餘皆由抗體引起:(A)異位性皮膚炎與(B)青黴素過敏屬IgE媒介的第一型;(D)RhD血型不合造成的新生兒溶血則屬IgG媒介的第二型細胞毒性反應，三者都需抗體參與，故不選。","第四型過敏的判別關鍵是「延遲」與「T細胞」，反應在接觸後48～72小時達高峰，結核菌素試驗(TB skin test)與金屬接觸性皮膚炎皆屬之。記憶口訣：ACID——I型Anaphylactic(IgE)、II型Cytotoxic(IgG\u002FIgM)、III型Immune complex、IV型Delayed(T細胞)，只有第四型不靠抗體。常春藤的致敏原urushiol為半抗原，需與皮膚蛋白結合才誘發T細胞反應。",[25,28,31,33],{"term":26,"count":27},"T細胞媒介",2,{"term":29,"count":30},"Gell-Coombs過敏分型",1,{"term":32,"count":30},"第四型遲發性過敏",{"term":34,"count":30},"接觸性皮膚炎",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-basic-medicine-045","關於細菌毒素與毒性作用的相關性，下列敘述何者正確？",45,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-basic-medicine-041","細菌對青黴素（penicillin）產生抗藥性，其最主要的機轉為何？",41,115,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-106-2-basic-medicine-005","有關兩性骨盆的比較，下列何者男性大於女性？",5,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-basic-medicine-043","關於克隆氏病（Crohn disease）的敘述，下列何者正確？① 多侷限在迴腸（ileum）末端，也會侵犯結腸（colon） ②潰瘍十分表淺 ③潰瘍與潰瘍之間的正常黏膜有如鵝卵石般 ④常出現肉芽腫（granulomas） ⑤腸壁會變薄且嚴重擴大",43,107,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-109-1-basic-medicine-007","下列那一塊骨頭中不具有副鼻竇的構造？",7,109,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-basic-medicine-041","下列細胞形態或胞器的改變，何者是屬於細胞可逆性的損傷？",110,"2026-09-04",1788510761328]