A 63-year-old woman with metabolic syndrome is found to have elevated ALT and ultrasound evidence of hepatic steatosis. Viral hepatitis serology is ne...

Question

A 63-year-old woman with metabolic syndrome is found to have elevated ALT and ultrasound evidence of hepatic steatosis. Viral hepatitis serology is negative, and she drinks minimal alcohol. According to contemporary NAFLD management principles, what is the cornerstone of treatment?

Accepted Answer

Structured lifestyle intervention targeting 7-10% weight loss

Answer

High-dose vitamin E for all patients

Answer

Immediate bariatric surgery

Answer

Routine prophylactic ursodeoxycholic acid

Answer

No intervention; fatty liver is always benign

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

A 63-year-old woman with metabolic syndrome is found to have elevated ALT and ultrasound evidence of hepatic steatosis. Viral hepatitis serology is negative, and she drinks minimal alcohol. According to contemporary NAFLD management principles, what is the cornerstone of treatment?