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NAFLD — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAmbulatory Medicine / Primary CareNAFLDUSMLE Step 3

A 46-year-old man with BMI 35 kg/m2 and type 2 diabetes has mildly elevated ALT and AST. Viral hepatitis testing is negative, alcohol use is minimal, and ultrasound shows steatosis. Platelets are normal and fibrosis score is low. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Recommend weight loss and metabolic risk reduction

Low-risk NAFLD is managed with weight loss, diabetes control, lipid management, and periodic fibrosis risk assessment.

Reference: Current US clinical practice standards and USMLE Step 3 content outline, https://www.usmle.org/exam-resources/step-3-materials