[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-115-2-內外科護理學-032","nurse-115-2-medical-surgical-032",115,2,32,"有關參與免疫反應的細胞之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"自然殺手細胞，屬於專一性細胞","T 淋巴球，屬於體液性免疫","B 淋巴球，屬於細胞性免疫","淋巴球，屬於專一性免疫細胞","D",null,[],"本題考點是先天性免疫與專一性免疫的細胞分工。依免疫學分類,淋巴球包含 T 與 B 淋巴球,具備抗原專一性受體、能辨識特定抗原並形成免疫記憶,是專一性(後天)免疫的主角,故 D 正確。A 錯,自然殺手細胞不需抗原呈現與事先致敏,可直接毒殺失去自體標記的病毒感染細胞與腫瘤細胞,屬非專一性的先天免疫。B 錯,T 淋巴球以直接毒殺與輔助調節為主,歸類於細胞性免疫。C 錯,B 淋巴球活化後轉為漿細胞分泌抗體,歸類於體液性免疫。B 與 C 兩項的歸類互換才成立,是本題最典型的陷阱設計。","延伸原理:先天免疫的特色是快速、不具專一性、無記憶,成員包含皮膚黏膜屏障、中性球、巨噬細胞、自然殺手細胞與補體;專一性免疫慢但精準且有記憶,這也是疫苗能建立長期保護的基礎。分工好記法:T 細胞親自動手(細胞性),B 細胞派抗體出手(體液性),自然殺手細胞見到可疑就殺、不問身分(先天)。T 細胞再細分輔助型(協調並分泌細胞激素)、毒殺型(直接清除受感染細胞)與調節型(避免過度反應),愛滋病毒攻擊輔助型使整體免疫協調瓦解,正好反證其樞紐地位。可連結概念:抗原呈現、主要組織相容性複合體、初級與次級免疫反應曲線。",[24,26,29,31,33],{"term":25,"count":10},"細胞性免疫",{"term":27,"count":28},"專一性免疫與先天免疫",1,{"term":30,"count":28},"自然殺手細胞",{"term":32,"count":28},"體液性免疫",{"term":34,"count":28},"T 與 B 淋巴球分工",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-033","黃先生因肺癌接受右全肺切除術（pneumonectomy），下列術後護理措施，何者最適當？①需確認術後胸腔水下引流系統是完整且功能正常 ②協助執行右側肩膀及手臂運動，以防關節黏滯導致冰凍肩 ③告知術後 3～6 個月，右側胸部傷口處肌肉較無力是正常的 ④教導術後盡量採左側躺，以利於剩餘肺臟的擴張",33,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-106-1-medical-surgical-079","有關 H1N1 新型流感之敘述，下列何者正確？",79,106,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-107-1-medical-surgical-013","有關膽囊炎處置之敘述，下列何者錯誤？",13,107,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-108-1-medical-surgical-051","有關膿胸病變發生之部位，下列何者正確？",51,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-medical-surgical-015","有關腹膜炎病人身體評估之發現，下列何者正確？①腹痛輻射至背部或肩膀 ②腹部肌肉僵硬如木板 ③觸診腹部時出現壓痛及反彈痛 ④腸蠕動音增強",15,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-medical-surgical-049","下列何者為初級免疫反應最先合成的免疫球蛋白？",49,110,"2026-08-06",1787299037212]