AKI Cirrhosis Initial Mx — RACP Adult Medicine MCQ

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ModerateNephrologyAKI Cirrhosis Initial MxRACP Adult Medicine

A 62-year-old man with cirrhosis develops AKI. Creatinine rises from 90 to 200 µmol/L. He has been taking ibuprofen. What is the FIRST step?

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Correct answer: C — Withhold diuretics and nephrotoxic drugs; expand volume with IV albumin

ICA algorithm: first withhold diuretics/nephrotoxins, volume expand with albumin, exclude SBP. If no improvement in 48 hours, consider HRS.

Reference: eTG – 2025; ICA – 2023; EASL – 2018