A 52-year-old woman with obesity and type 2 diabetes has elevated liver enzymes and ultrasound evidence of hepatic steatosis. Viral hepatitis serology...

Question

A 52-year-old woman with obesity and type 2 diabetes has elevated liver enzymes and ultrasound evidence of hepatic steatosis. Viral hepatitis serology is negative, and there is no significant alcohol use. According to contemporary guidance, what is the cornerstone of management for non-alcoholic fatty liver disease (NAFLD)?

Accepted Answer

Weight loss through diet and physical activity

Answer

Liver biopsy for all patients to confirm diagnosis

Answer

Immediate initiation of high-dose vitamin E

Answer

Start prophylactic antibiotics

Answer

Urgent referral for liver transplantation evaluation

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