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Pneumocystis jirovecii pneumonia — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardInfectious DiseasesPneumocystis jirovecii pneumoniaRCPSC IM

A patient with cirrhosis is admitted with new encephalopathy, ascites and AKI. Ascitic fluid has 420 neutrophils/mm³. Which treatment should be added to empiric antibiotics to reduce renal failure risk?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Give intravenous albumin using the SBP treatment protocol

Explanation lettering: B = shown as A · A = shown as B · E = shown as C · C = shown as E

C is correct: spontaneous bacterial peritonitis with renal-risk features is treated with antibiotics plus protocolized albumin. D and E can worsen effective volume. A is inappropriate. B is unsupported.

Reference: Cirrhosis Care, Ascites and hepatorenal syndrome: https://cirrhosiscare.ca/treatment-provider/ascites-hcp/