A 44-year-old woman with obesity and metabolic syndrome has persistently elevated alanine aminotransferase (ALT) and an ultrasound demonstrating fatty...

Question

A 44-year-old woman with obesity and metabolic syndrome has persistently elevated alanine aminotransferase (ALT) and an ultrasound demonstrating fatty infiltration of the liver. Viral hepatitis serologies are negative and alcohol intake is minimal. What is the most appropriate first-line management?

Accepted Answer

Advise gradual weight loss and increased physical activity

Answer

Start long-term corticosteroid therapy

Answer

Begin a statin to treat fatty liver

Answer

Start routine surveillance for hepatocellular carcinoma every 6 months

Answer

Refer immediately for liver transplantation assessment

ca-mccqe1 MCQ (SBA): Non-alcoholic fatty liver disease