Free Practice Quiz Question List

5 Ascites Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Ascites, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A patient with cirrhosis and ascites is emergently hospitalized but has no fever or abdominal pain. Diagnostic paracentesis should still be considered promptly.

A
True
B
False

Fill in the blank

1 point

When ascitic-fluid infection is suspected, collect the culture before starting .

Choose all

1 point

Which measures are consistent with usual first-line management of moderate cirrhotic ascites? Select all that apply.

A
Use moderate dietary sodium restriction, about 2 g of sodium daily
B
Use diuretics, commonly spironolactone with or without a loop diuretic
C
Avoid monitoring kidney function and electrolytes once diuretics are started
D
Monitor weight, kidney function, and serum sodium and potassium

Fill in the blank

1 point

The commonly used diagnostic threshold for SBP is an ascitic-fluid polymorphonuclear leukocyte count of at least cells/mm³.

Choose one

1 point

A patient has a high SAAG. Which additional ascitic-fluid result would support a cardiac contribution to the ascites?

A
Low ascitic-fluid protein, which confirms a cardiac cause
B
Relatively high ascitic-fluid protein, which supports a cardiac contribution
C
High ascitic-fluid glucose, which confirms portal hypertension
D
Low serum albumin, which rules out a cardiac contribution

Written response

1 point

A patient's serum albumin is $3.0\,\text{g/dL}$ and ascitic-fluid albumin is $1.5\,\text{g/dL}$ . Calculate the SAAG as serum albumin minus ascitic-fluid albumin. Enter the numeric value in g/dL only.

Written response

1 point

When more than 5 L of ascites is removed, albumin replacement is described at a dose range of 6–8 g per liter removed. What is the lower endpoint of that dose range? Enter the numeric dose only.

Choose all

1 point

A patient with cirrhosis and ascites deteriorates clinically. Which complications should be considered? Select all that apply.

A
Spontaneous bacterial peritonitis or another infection
B
Acute kidney injury, including hepatorenal syndrome
C
Hyponatremia
D
Hepatic encephalopathy

True or false

1 point

Fluid restriction is generally required for every patient with cirrhotic ascites, even when clinically important hyponatremia is absent.

A
True
B
False

Choose one

1 point

A patient with refractory ascites is being assessed for a possible TIPS procedure. Which complication is a particular concern because TIPS can increase its risk?

A
Spontaneous bacterial peritonitis
B
Hyponatremia
C
Hepatic encephalopathy
D
Pancreatic disease

Written response

1 point

During large-volume paracentesis, albumin replacement is recommended when the volume removed exceeds what threshold? Enter the numeric threshold in liters only.

Open ended

1 point

A patient's ascites recurs despite appropriate sodium restriction and diuretic therapy. Describe the key reassessments and management options that may be appropriate, including broader care considerations.

Choose one

1 point

A patient with tense ascites undergoes large-volume paracentesis. In which circumstance is albumin replacement recommended to reduce post-paracentesis circulatory dysfunction?

A
More than 5 L is removed
B
Any amount of fluid is removed
C
Only when fever develops after the procedure
D
Only when ascitic-fluid protein is high

True or false

1 point

A patient with cirrhotic ascites has no clinically important hyponatremia. True or false: fluid restriction is generally required in addition to sodium restriction and diuretic therapy.

A
True
B
False

Written response

1 point

A patient's serum albumin is 3.0 g/dL and ascitic-fluid albumin is 1.5 g/dL. Calculate the serum–ascites albumin gradient (SAAG).

Choose one

1 point

A patient's ascites has a high SAAG and relatively high ascitic-fluid total protein, greater than 2.5 g/dL. Which interpretation is best supported?

A
It establishes cirrhosis as the cause without need for clinical context.
B
It supports a cardiac contribution, but is not a stand-alone diagnosis.
C
It rules out portal hypertension as a contributor.
D
It confirms spontaneous bacterial peritonitis.

Choose one

1 point

A patient with cirrhosis has newly identified ascites that is accessible for sampling. Which initial diagnostic approach best evaluates its cause and screens for complications?

A
Begin diuretics and defer fluid testing unless the ascites returns.
B
Measure ascitic-fluid protein only; serum testing is not needed.
C
Perform diagnostic paracentesis and test cell count and differential, albumin, and total protein, with a simultaneous serum albumin.
D
Obtain a culture only, because other fluid tests do not help classify ascites.

Choose one

1 point

A patient with cirrhosis and ascites is emergently hospitalized but has no fever or abdominal pain. What is the most appropriate approach to diagnostic paracentesis?

A
Consider prompt diagnostic paracentesis; absence of fever or pain does not exclude a serious complication.
B
Defer paracentesis unless fever or abdominal pain develops.
C
Use ultrasound alone to rule out infection.
D
Start diuretics and perform paracentesis only if the ascites worsens.

Choose one

1 point

A patient's ascitic-fluid polymorphonuclear leukocyte count is 320 cells/mm³. Which interpretation and next step are most appropriate?

A
The count is below the SBP threshold; wait for culture results before deciding on treatment.
B
The count suggests hyponatremia; restrict fluids immediately.
C
The count confirms a cardiac cause; begin diuretics without further assessment.
D
The count meets the SBP threshold; obtain appropriate cultures and start empiric antibiotics promptly.

Choose one

1 point

A patient has tense ascites causing substantial discomfort. Which treatment and albumin plan best fit the usual approach?

A
Restrict fluids alone; paracentesis should be avoided in tense ascites.
B
Use large-volume paracentesis; give albumin when more than 5 L is removed.
C
Use diuretics alone and give albumin only if less than 5 L is removed.
D
Perform paracentesis only after confirming spontaneous bacterial peritonitis.

5 Ascites Online Quiz Questions

Related study packs and tools