[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-115-2-內外科護理學-030","nurse-115-2-medical-surgical-030",115,2,30,"異位性皮膚炎病人血液中會出現下列何種免疫球蛋白升高？",{"A":14,"B":15,"C":16,"D":17},"IgA","IgE","IgG","IgM","B",null,[],"本題考點是異位性皮膚炎背後的過敏免疫機轉。依第一型立即型過敏反應,過敏原經抗原呈現細胞處理後促使 Th2 淋巴球分泌介白素 4 與介白素 13,誘導 B 淋巴球類別轉換而合成免疫球蛋白 E;此抗體結合肥大細胞與嗜鹼性球表面受體使之敏感化,再次接觸過敏原即釋出組織胺與白三烯素,造成搔癢、紅疹與血中總量與特異性數值升高,故選 B。A 錯,免疫球蛋白 A 主要分布於黏膜與外分泌液,負責局部黏膜防禦。C 錯,免疫球蛋白 G 含量最多且可通過胎盤,是次級免疫反應主力。D 錯,免疫球蛋白 M 是初次感染最早出現的抗體。","延伸病生理:異位性皮膚炎屬過敏三聯病之一,常與過敏性鼻炎、氣喘先後或並存出現,合稱異位性體質進程;皮膚屏障蛋白缺損使過敏原更易穿透,形成搔抓與發炎的惡性循環。抗體功能記憶口訣:A 守黏膜、D 在 B 細胞表面、E 管過敏、G 最多又過胎盤、M 最早又最大。檢驗判讀上,總免疫球蛋白 E 升高只反映過敏傾向,特異性檢測或皮膚針刺試驗才能指認過敏原;數值與皮膚症狀嚴重度並非完全平行。可連結概念:第一至第四型過敏反應分類、肥大細胞去顆粒化、抗組織胺與局部類固醇的作用階段。",[24,27,30,32,34],{"term":25,"count":26},"第一型過敏反應",7,{"term":28,"count":29},"免疫球蛋白 E",1,{"term":31,"count":29},"Th2 細胞與介白素 4",{"term":33,"count":29},"肥大細胞去顆粒化",{"term":35,"count":29},"五類免疫球蛋白功能",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-medical-surgical-031","下列何者不是愛滋病人服用高效能抗反轉錄病毒治療（俗稱雞尾酒療法）之副作用？",31,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-106-1-medical-surgical-077","有關食物中毒後有腦部神經症狀，包括複視、眼瞼下垂、視力模糊、吞嚥困難是屬於下列那一類食物中毒？",77,106,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-107-1-medical-surgical-011","有關潰瘍性結腸炎與區域性結腸炎之比較，下列何者錯誤？",11,107,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-108-1-medical-surgical-049","有關全身性紅斑性狼瘡的護理措施，下列何者錯誤？",49,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-medical-surgical-013","下列何者不是大腸鏡檢查的禁忌症？",13,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-110-2-medical-surgical-047","有關燒傷病人敷料應用的敘述，下列何者錯誤？",47,110,"2026-08-06",1787299037196]