Fatty Liver Disease – Board-Style Questions

What this deck covers

fatty liver disease in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Heavy at ten
2. Fifty, twice
3. Lean, with a big liver
4. Wanting a scan
5. The paediatric pattern
6. Running in families
7. Dark velvet on the neck
8. The new name
9. A reassuring ALT
10. A litre and a half a day
11. Measuring without a needle
12. Same BMI, different livers
13. When to take tissue
14. Too fast
15. Since the new medicine
16. Only a bit of fat
17. The long view
18. A supplement from the internet

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Ultrasound of the liver at every visit, More than double the paediatric range, needing assessment, Familial hypercholesterolaemia alone, Radiation from the scan harms the growing child, Periportal steatosis with portal inflammation, HFE C282Y/C282Y, Copper overload from reduced excretion, Fatty change with no alcohol intake at all, Enzymes can be normal despite advanced scarring, Switching from white bread to wholemeal bread, Hepatobiliary scintigraphy with a fatty meal, Weight alone, plotted on a growth chart, An ALT persistently above 80 U/L, Proceed, since faster loss helps the liver more.

Clinical pearls from this deck

• Obese child aged 9 to 11: check an ALT.
• Judge a child’s ALT against paediatric limits.
• Lean, fatty liver, high LDL: test for LAL deficiency.
• Ultrasound cannot stage liver scarring.
• Paediatric steatohepatitis is often zone 1.
• PNPLA3 I148M is the key fatty liver variant.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Gastroenterology Board Questions case decks · pediatric reference values.