This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Insulin resistance is seen in liver disease because of- 
Select and explain. 
A. Decreased secretion of insulin, B. Hepatic steatosis, C. Hepatocytedysfunction, D. Low 'C'peptide level
B: Hepatic steatosis
Answer: B: Hepatic steatosis 
Explanation: Ans. b. Hepatic steatosis (Ref Robbins 9/e p842, 845, 8/e p 1136, http://wwwnews-medical.net/health/What-is-InsulinResistance.aspx )'Insulin resistance may also be caused by the damage of liver cells having undergone a defect of insulin receptors in hepatocytes.''Nonalcoholic fatty liver disease (NAFLD) refers to the presence of hepatic steetosis when no other causes for secondary hepatic fat accumulation (eg. heavy alcohol consumption) are present.