Question

A 62-year-old with suspected NAFLD has FIB-4 of 2.1 (age 62, platelets 180k). What is the next step?

Accepted Answer

FIB-4 >1.3 (age <65) or >2.0 (age ≥65) warrants secondary noninvasive fibrosis assessment to identify advanced fibrosis; biopsy is not first-line. Steroids/methotrexate are not treatments for NAFLD.

Answer

AST 45

Answer

ALT 40

Answer

No further evaluation

Answer

Immediate liver biopsy

Practice question

A 62-year-old with suspected NAFLD has FIB-4 of 2.1 (age 62, platelets 180k). What is the next step?