End-Organ Damage Mechanisms · USMLE Step 1

Which process describes how chronic injury leads to tissue scarring and organ stiffness contributing to end-organ failure?

  1. Oncotic cell death and swelling
  2. Fibrosis from myofibroblast ECM deposition
  3. Acute coagulative necrosis with hemorrhage
  4. Transient hyperplasia with full regeneration
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Correct answer: Fibrosis from myofibroblast ECM deposition

Persistent or repeated injury activates fibroblasts and myofibroblasts, driving excessive extracellular matrix deposition and fibrosis that stiffen the tissue and impair organ function.

Difficulty: Medium Question 3 of 20

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