Cell injury and death · USMLE Step 1

A child ingests acetaminophen in toxic amounts, leading to centrilobular liver necrosis. Which mechanism underlies this injury?

  1. ATP depletion
  2. Free radical formation
  3. Calcium influx
  4. Lysosomal enzyme leakage
Show answer and explanation

Correct answer: Free radical formation

Acetaminophen overdose generates toxic free radicals via CYP450 metabolism, damaging hepatocytes.

Difficulty: Medium Question 3 of 20

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