This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2017, Subject name: Medicine
Fatty liver with hepatomegaly is seen in: 
Select and explain. 
A. Marasmus, B. Metabolic syndrome, C. Wilson disease, D. Nutmeg liver
B: Metabolic syndrome
Answer: B: Metabolic syndrome 
Explanation: OPTION B: Metabolic syndrome - Obesity - Fatty liver Option A: Marasmus do not have hepatomegaly rather kwashiorkor will have hepatomegaly Option C: Wilson disease leads to Cirrhosis Option D: Nutmeg liver leads to Cirrhosis Best test for fatty liver = Gamma GGT Alcoholic liver disease + fatty liver - Best Test - SGOT / SGPT Ratio more than 2