Hepatobiliary and pancreatic surgery: albumin with large-volume paracentesis: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hepatobiliary and pancreatic surgery: albumin with large-volume paracentesis

Sample item

A man with cirrhosis and tense ascites undergoes removal of 8 litres of ascitic fluid in one session. Which measure best prevents post-paracentesis circulatory dysfunction and renal impairment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Intravenous albumin infusion after the procedure

Removal of a large volume of ascites triggers effective hypovolaemia and renin-angiotensin activation. Albumin infusion expands the plasma volume and reduces circulatory dysfunction and hepatorenal injury.

Option by option

  • A. Normal saline bolus alone

    Saline alone does not stay in the vascular space as albumin does.

  • B. Intravenous furosemide bolus

    A diuretic bolus would deplete volume further.

  • C. Intravenous albumin infusion after the procedure (correct)

    Correct. Albumin is given when large volumes are removed.

  • D. Fluid restriction to 500 mL a day

    Fluid restriction would worsen effective hypovolaemia.

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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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Intravenous albumin infusion after the procedure. Removal of a large volume of ascites triggers effective hypovolaemia and renin-angiotensin activation.

Why is "Normal saline bolus alone" not the answer?

Saline alone does not stay in the vascular space as albumin does.

Why is "Intravenous furosemide bolus" not the answer?

A diuretic bolus would deplete volume further.

Why is "Fluid restriction to 500 mL a day" not the answer?

Fluid restriction would worsen effective hypovolaemia.

What concept does this question test?

It tests Hepatobiliary and pancreatic surgery: albumin with large-volume paracentesis in General Surgery. Albumin infusion expands the plasma volume and reduces circulatory dysfunction and hepatorenal injury.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hepatobiliary and pancreatic surgery: albumin with large-volume paracentesis?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.