Abnormal Liver Function Tests (Management) — 52yo Man | Hepatology | MCCQE1 Q#10728
MCCQE1 Question #10728
Dimension of Care
Chronic Care
Activity
Management
Objective
Abnormal Liver Function Tests
Section
Medicine / Family Medicine
Subject
Hepatology
Last updated: February 2026
A 52-year-old man is evaluated after incidental abnormal liver enzymes on insurance bloodwork. He feels well and reports minimal alcohol intake. Medications include atorvastatin. He has no known viral hepatitis risk factors. Physical examination shows no jaundice, ascites, hepatosplenomegaly, or stigmata of chronic liver disease. Liver tests remain similarly abnormal on repeat testing 3 months later. Viral hepatitis serology is negative. Abdominal ultrasound shows increased hepatic echogenicity compatible with fatty liver, without biliary dilation or focal lesions. What is the most appropriate next step regarding referral?
Full answer analysis and choices are available inside the practice session.
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