Which condition involves the accumulation of fat in the liver in people who do not drink large amounts of alcohol?

• A. Hepatomegaly
• B. Jaundice
• C. NAFLD
• D. Cholecystitis

Answer: (C)

Fat is accumulating inside liver cells without heavy alcohol use—that’s what this question is testing. That pattern defines Non-Alcoholic Fatty Liver Disease. It occurs when triglycerides build up in hepatocytes in people who drink little or no alcohol, and it’s closely tied to obesity, insulin resistance, and metabolic syndrome. NAFLD can be silent, but it can show up as elevated liver enzymes or be seen as fat in the liver on imaging, and it can progress to inflammation and scarring if not addressed.

The other terms describe different liver or biliary issues. Hepatomegaly is simply an enlarged liver, which can occur for many reasons and isn’t specific to fat accumulation. Jaundice is a symptom (yellowing) from bilirubin buildup, not a description of fat in the liver. Cholecystitis is inflammation of the gallbladder, usually due to gallstones or infection, not fat accumulation in the liver.