A 58-year-old man with chronic hepatitis C completed direct-acting antiviral therapy 6 months ago. HCV RNA is undetectable. Before treatment,

Question

A 58-year-old man with chronic hepatitis C completed direct-acting antiviral therapy 6 months ago. HCV RNA is undetectable. Before treatment, elastography showed cirrhosis. He does not drink alcohol and has normal bilirubin and INR. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Continue ultrasound surveillance for hepatocellular carcinoma every 6 months

Answer

Screen with alpha-fetoprotein alone every 3 years

Answer

Stop liver follow-up because viral load is undetectable

Answer

Begin indefinite ribavirin monotherapy

Answer

Schedule liver biopsy every year

Hepatitis C after cure with cirrhosis — USMLE Step 3 MCQ

A 58-year-old man with chronic hepatitis C completed direct-acting antiviral therapy 6 months ago. HCV RNA is undetectable. Before treatment, elastography showed cirrhosis. He does not drink alcohol and has normal bilirubin and INR. Which of the following would you recommend at the follow-up visit?