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General Medicine · Gastroenterology
Sample itemIn a patient with cirrhosis and new tense ascites, which procedure helps evaluate spontaneous bacterial peritonitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Diagnostic ascitic fluid paracentesis
Diagnostic paracentesis allows ascitic fluid cell count and culture assessment; it is important in cirrhosis because spontaneous bacterial peritonitis may present subtly but requires prompt antimicrobial treatment.
Option by option
A. Barium swallow
A barium swallow evaluates oesophageal swallowing problems.
B. Diagnostic ascitic fluid paracentesis (correct)
Correct: ascitic fluid sampling directly assesses for peritoneal infection.
C. Exercise ECG
An exercise ECG assesses inducible cardiac ischemia.
D. Skin-prick testing
Skin-prick testing assesses immediate allergic sensitization.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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