Question

A 52-year-old with incidentally noted hepatic steatosis and metabolic syndrome has FIB-4 = 0.9. Which next step aligns with current guidance?

Accepted Answer

Refer for transplant evaluation

Answer

Immediate liver biopsy

Answer

Start vitamin E and pioglitazone empirically

Answer

Primary risk assessment suggests low risk (FIB-4 < 1.3); manage metabolic risks and reassess periodically

Answer

Start ursodiol therapy

Practice question

A 52-year-old with incidentally noted hepatic steatosis and metabolic syndrome has FIB-4 = 0.9. Which next step aligns with current guidance?