skip to main content

Metabolic dysfunction-associated steatotic liver disease — USMLE Step 3 MCQ

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

ModerateInternal Medicine (chronic management)Metabolic dysfunction-associated steatotic liver diseaseUSMLE Step 3

A 52-year-old man with obesity and type 2 diabetes has mildly elevated aminotransferases found during routine testing. He drinks 1 beer weekly. Hepatitis B and C tests are negative. Ultrasound shows hepatic steatosis. Platelets are normal, and FIB-4 score is low. Which of the following is the most appropriate at this time?

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

Reveal the answer and explanation

Correct answer: E — Counsel on weight loss and metabolic risk control with periodic fibrosis reassessment

Low-risk fatty liver disease is managed with weight loss, diabetes and lipid control, alcohol moderation, and noninvasive fibrosis monitoring.

Reference: AASLD practice guidance on fatty liver disease