Question

A 55-year-old with obesity, T2DM, and ultrasound steatosis has FIB-4 = 0.9. Which next step aligns with guidance?

Accepted Answer

Manage metabolic risk factors in primary care; repeat noninvasive fibrosis assessment periodically

Answer

Refer immediately for liver biopsy

Answer

Start vitamin E and pioglitazone empirically

Answer

Order MRI-PDFF to quantify fat and biopsy if elevated

Answer

Begin ursodiol

Practice question

A 55-year-old with obesity, T2DM, and ultrasound steatosis has FIB-4 = 0.9. Which next step aligns with guidance?