End-Organ Damage Mechanisms · USMLE Step 1

In chronic kidney disease due to long-term vascular or glomerular injury, what histopathologic mechanism underlies progressive loss of nephron function?

  1. Hyperplasia of the glomerular capillaries
  2. Interstitial fibrosis with glomerulosclerosis and tubular atrophy
  3. Spontaneous regeneration of lost nephrons
  4. Deposition of viral inclusion bodies
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Correct answer: Interstitial fibrosis with glomerulosclerosis and tubular atrophy

Repeated injury leads to glomerulosclerosis, tubular atrophy, and interstitial fibrosis, replacing functional nephrons with scar tissue and causing progressive renal failure.

Difficulty: Medium Question 18 of 20

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