A 45-year-old woman has chronic elevations in ALT and ultrasound evidence of fatty infiltration of the liver. She is obese with metabolic syndrome. Vi...

Question

A 45-year-old woman has chronic elevations in ALT and ultrasound evidence of fatty infiltration of the liver. She is obese with metabolic syndrome. Viral hepatitis and alcohol use are excluded. According to Canadian NAFLD guidance, what is the primary treatment approach?

Accepted Answer

Lifestyle modification focusing on weight loss and physical activity

Answer

Immediate liver transplant evaluation

Answer

High-dose corticosteroids

Answer

Lifelong prophylactic antibiotics

Answer

No follow-up is required

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

A 45-year-old woman has chronic elevations in ALT and ultrasound evidence of fatty infiltration of the liver. She is obese with metabolic syndrome. Viral hepatitis and alcohol use are excluded. According to Canadian NAFLD guidance, what is the primary treatment approach?