Gastroenterology Quiz #29: Cirrhosis and Complications

1. A 55-year-old man with a history of chronic alcohol use presents to the clinic with complaints of increasing abdominal girth and lower extremity edema over the past two months. On examination, shifting dullness and a fluid wave are noted. Laboratory tests show a serum-ascites albumin gradient (SAAG) greater than 1.1 g/dL. Which of the following is the most likely cause of his ascites? 

Question 1 of 5

2. A 48-year-old woman with a history of hepatitis C and cirrhosis is admitted to the hospital for confusion and lethargy. Her husband reports that her condition has worsened over the past week. Laboratory tests reveal elevated ammonia levels. Which of the following is the most appropriate first step in the management of this patient's condition? 

Question 2 of 5

3. A 60-year-old man with known cirrhosis presents with hematemesis. Endoscopy reveals bleeding esophageal varices. After initial resuscitative measures, which of the following is the most appropriate next step in management to prevent further bleeding?

Question 3 of 5

4. A 52-year-old man with cirrhosis is noted to have spider angiomas on the chest and palmar erythema on examination. Which of the following is the most likely cause of these findings? 

Question 4 of 5

5. A 44-year-old woman with a history of cirrhosis due to nonalcoholic steatohepatitis presents with severe right upper quadrant pain and fever. Laboratory tests reveal leukocytosis, and an ultrasound shows a thickened gallbladder wall with pericholecystic fluid. There is no evidence of gallstones. Which of the following is the most likely diagnosis? 

Question 5 of 5


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