End-Organ Damage Mechanisms · USMLE Step 1

In the pathogenesis of atherosclerosis, what is the first key event in the arterial wall?

  1. Acute thrombosis of the vasa vasorum
  2. Primary necrosis of medial smooth muscle
  3. Endothelial dysfunction and leukocyte adhesion
  4. Calcification within the arterial media
Show answer and explanation

Correct answer: Endothelial dysfunction and leukocyte adhesion

Endothelial dysfunction — increased permeability, adhesion-molecule expression, and leukocyte adhesion — is the initiating event that permits lipid entry and subsequent plaque formation.

Difficulty: Medium Question 2 of 20

Practice all 20 End-Organ Damage Mechanisms questions

Keep practicing

More End-Organ Damage Mechanisms questions