A 50-year-old man drinks 6 beers nightly and has AST 96 U/L, ALT 48 U/L, MCV 104 fL, and mild hepatomegaly. He has no ascites or encephalopathy. He

Question

A 50-year-old man drinks 6 beers nightly and has AST 96 U/L, ALT 48 U/L, MCV 104 fL, and mild hepatomegaly. He has no ascites or encephalopathy. He wants to reduce health risks but is not ready for inpatient treatment. Which of the following is the most appropriate next step in management?

Accepted Answer

Offer medication-assisted treatment and counseling for alcohol use disorder

Answer

Start chronic prednisone for fatty liver

Answer

Recommend switching to wine

Answer

Prescribe acetaminophen 4 g daily

Answer

Schedule elective splenectomy

Alcohol-associated liver injury — USMLE Step 3 MCQ

A 50-year-old man drinks 6 beers nightly and has AST 96 U/L, ALT 48 U/L, MCV 104 fL, and mild hepatomegaly. He has no ascites or encephalopathy. He wants to reduce health risks but is not ready for inpatient treatment. Which of the following is the most appropriate next step in management?