A patient with metabolic risk factors has ultrasound-confirmed fatty liver. ALT is mildly raised. What first-line non-invasive test should assess adva...

Question

A patient with metabolic risk factors has ultrasound-confirmed fatty liver. ALT is mildly raised. What first-line non-invasive test should assess advanced fibrosis risk?

Accepted Answer

Use the enhanced liver fibrosis blood test

Answer

Use serial ALT alone because it accurately stages fibrosis

Answer

Arrange immediate liver biopsy for every patient

Answer

Use ultrasound echogenicity to quantify fibrosis stage

Answer

Exclude fibrosis because the patient has no jaundice

NAFLD/MASLD — MRCP Part 1 MCQ

A patient with metabolic risk factors has ultrasound-confirmed fatty liver. ALT is mildly raised. What first-line non-invasive test should assess advanced fibrosis risk?