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Metabolic-associated steatotic liver disease — RACP Written MCQ

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HardGastroenterology/HepatologyMetabolic-associated steatotic liver diseaseRACP Written

A 58-year-old man with type 2 diabetes and obesity has ALT 84 U/L for 18 months. Alcohol intake is 6 standard drinks weekly. Hepatitis serology is negative. Fibrosis score is indeterminate and liver stiffness is raised on transient elastography. What is the most important next step?

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Correct answer: C — Assess and manage metabolic-associated steatotic liver disease fibrosis risk with hepatology referral

Persistent abnormal liver tests with metabolic risk factors and raised liver stiffness suggest clinically significant fibrosis risk, needing structured fibrosis management and specialist input.

Reference: Therapeutic Guidelines: Gastrointestinal; Gastroenterological Society of Australia guidance