問題詳情

75.林醫師30歲,身高168公分,體重90公斤,為第3年感染科住院醫師。今年體檢後,依規定追加一劑hepatitis Bvaccine,仍無足夠之免疫力,最可能的原因為何?
(A)體重過重
(B)工作壓力過大
(C)已成為hepatitis B帶原者
(D)可能有HIV感染

參考答案

答案:A
難度:適中0.48
書單:沒有書單,新增

用户評論

666】評論

https://pubmed.ncbi.nlm.nih.gov/28059607/Hum Vaccin Immunother.2017 May 4;13(5):1014-1017Influences of obesity on the immunogenicity of Hepatitis B vaccineConclusions: Obesity was significantly associated with non-response to hepatitis B vaccine immunization.The risk of nonresponsiveness of hepatitis B vaccine among obese people increased with BMI. Moreover, obesity might lead to an increased risk of HBV vaccine-escape mutations.The mechanism responsible for decreased immunization responses in obesity included1. leptin-induced systemic and B cell intrinsic inflammation2. impaired T cell responses and lymphocyte division and proliferation.Therefore, more studies should be performed to analyze the influences of obesity on the immunogenicity of hepatitis B vaccines to improve the immunoprotective effect of hepatitis B vaccines in future.

加賴叫過去】評論

林醫師30歲,身高168公分,體重90★★,...

這次會過的!相信自己】評論

BMI值計算公式:    BMI = 體重(公斤) / 身高2(公尺2)=90/1.68*1.68=31.877屬中度肥胖

terminator812】評論

B我覺得也合理,因為醫師真的壓力大,這個很難否認,要看當事人和她遇到的事情而定~但A有明顯的數據佐證B算是感情上A是理性上理性總是戰勝感情滴