A 49-year-old woman with obesity and type 2 diabetes is found to have mildly elevated alanine aminotransferase and ultrasound evidence of hepatic stea...

Question

A 49-year-old woman with obesity and type 2 diabetes is found to have mildly elevated alanine aminotransferase and ultrasound evidence of hepatic steatosis. There is no significant alcohol intake and viral hepatitis serology is negative. According to Canadian guidance on metabolic dysfunction-associated steatotic liver disease, what is the cornerstone of initial management?

Accepted Answer

Intensify lifestyle interventions focusing on weight loss and physical activity.

Answer

Start long-term prophylactic antibiotics.

Answer

Begin high-dose corticosteroids.

Answer

Refer immediately for liver transplantation assessment.

Answer

Advise vitamin E supplementation as sole therapy.

ca-mccqe1 MCQ (SBA): Metabolic dysfunction-associated steatotic liver disease