[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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,"freq":11},"nurse-107-1-基礎醫學-035","nurse-107-1-basic-medicine-035",107,1,35,"第一型過敏反應是因 IgE 與抗原結合後，造成肥大細胞的去顆粒化作用，下列何者是所釋出最重要的原發性介質（primary mediator）？",{"A":15,"B":16,"C":17,"D":18},"肝素（heparin）","補體（complement）","組織胺（histamine）","前列腺素（prostaglandin）","C",null,[],"本題考點是第一型過敏反應中肥大細胞釋放的原發性（預先儲存）介質。依免疫病理，IgE 交聯抗原後肥大細胞去顆粒，釋出顆粒內預先儲存的介質，其中最重要者為組織胺，造成血管擴張、通透性增加與平滑肌收縮，故選 C。前列腺素（D）與白三烯屬「新合成」的次發性介質而非預存；肝素（A）雖為原發介質但作用非主導；補體（B）屬第三型反應與免疫複合體相關，非肥大細胞顆粒產物。判斷關鍵在於分辨預存介質（histamine）與新合成介質（前列腺素、白三烯）。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":37,"stem":38,"number":39,"year":27,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":41,"stem":42,"number":43,"year":27,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":45,"stem":46,"number":47,"year":27,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840739234]