A 48-year-old with obesity and newly diagnosed NAFLD has normal bilirubin and INR, but FIB-4 suggests advanced fibrosis risk. Next step?...

Question

A 48-year-old with obesity and newly diagnosed NAFLD has normal bilirubin and INR, but FIB-4 suggests advanced fibrosis risk. Next step?

Accepted Answer

Noninvasive elastography (e.g., VCTE) to risk-stratify

Answer

Reassure only; no further workup

Answer

Immediate liver biopsy in all

Answer

Start steroids

Answer

Stop statins

us-abim MCQ (SBA): NAFLD (risk stratification)