Gastrointestinal
Author and Disclosure Information [Show]

Edward A. Jackson, MD, FAAFP, is Medical Director for the Center for Family Care, Florida Hospital East Orlando Osteopathic Family Medicine Residency Program. Dr. Jackson is also Clinical Professor of Family Medicine at Michigan State University College of Human Medicine in East Lansing and at Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine in Fort Lauderdale, Florida. Dr. Jackson is also a faculty member of the National Family Medicine Board Review course.

Question 1 of 5

A 42-year-old man presents to the office for follow-up of laboratory testing done at a prior office visit. The patient has type 2 diabetes mellitus (T2DM) and is noted to be obese, with a body mass index (BMI) of 39.5 kg/m2.

A complete metabolic panel revealed mildly elevated alanine transaminase (ALT) and aspartate transaminase (AST) concentrations of 75 U/L and 81 U/L, respectively. His most recent glycosylated hemoglobin (HbA1C) is 7.9%. He currently has no complaints.

What is the most probable cause of his elevated asymptomatic liver transaminases?

Excessive alcohol intake.

Hepatitis C virus (HCV) infection.

Nonalcoholic fatty liver disease (NAFLD).

New-onset cirrhosis.

This quiz is not accredited for CME.

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