A 45-year-old with steatosis on ultrasound and ALT elevation is suspected of MASLD (NAFLD). What is the recommended initial risk-stratification step i...

Question

A 45-year-old with steatosis on ultrasound and ALT elevation is suspected of MASLD (NAFLD). What is the recommended initial risk-stratification step in primary care?

Accepted Answer

Calculate FIB-4 to risk-stratify fibrosis

Answer

Start vitamin E for all patients

Answer

Statins are contraindicated and should be stopped

Answer

Immediate liver biopsy

Answer

No follow-up is required

Metabolic-Associated Steatotic Liver Disease — US-ABFM MCQ

A 45-year-old with steatosis on ultrasound and ALT elevation is suspected of MASLD (NAFLD). What is the recommended initial risk-stratification step in primary care?