A 54-year-old man with obesity and type 2 diabetes has mildly elevated ALT and ultrasound-confirmed hepatic steatosis. He drinks minimal alcohol. Whic...

Question

A 54-year-old man with obesity and type 2 diabetes has mildly elevated ALT and ultrasound-confirmed hepatic steatosis. He drinks minimal alcohol. Which management is most appropriate for presumed NAFLD/MASLD?

Accepted Answer

Advise weight loss, exercise and optimise metabolic risk factors, with periodic monitoring

Answer

Reassure that fatty liver is benign and needs no follow-up

Answer

Start high-dose corticosteroids

Answer

Start prophylactic antiviral therapy

Answer

Refer all such patients immediately for liver transplant assessment

ca-mccqe1 MCQ (SBA): NAFLD/MASLD

A 54-year-old man with obesity and type 2 diabetes has mildly elevated ALT and ultrasound-confirmed hepatic steatosis. He drinks minimal alcohol. Which management is most appropriate for presumed NAFLD/MASLD?