Question

A 55-year-old with metabolic syndrome and elevated ALT has ultrasound-confirmed steatosis. Which initial noninvasive risk stratification is recommended?

Accepted Answer

Calculate FIB-4 to assess fibrosis risk and guide need for elastography or referral

Answer

Order liver biopsy immediately in all patients

Answer

Start vitamin E for all patients regardless of diabetes

Answer

Discontinue statin therapy

Answer

Start pioglitazone for all patients regardless of fibrosis

Practice question

A 55-year-old with metabolic syndrome and elevated ALT has ultrasound-confirmed steatosis. Which initial noninvasive risk stratification is recommended?