Gastroenterology Education and CPD for trainees and specialists

1. Which one of the following statements regarding Spontaneous bacterial peritonitis (SBP) is true?

1. SBP is confirmed by positive bacterial culture of the ascitic fluid and ascitic fluid neutrophil count of >500cells/mm3
2. Occurs in the background of advanced cirrhosis, particularly when ascitic fluid protein goes below 20mg/L
3. Occurs in 5-10% of cirrhotic hospitalised patients
4. Gram stain a useful diagnostic test
5. a.Neutrophil count: normally in hundreds in SBP and in thousands in Secondary BP

2. Which one of the following statements regarding Spontaneous bacterial peritonitis (SBP) is false?

1. The microbiological flora is usually either E.Coli, Streptococcus or enterococcus
2. After first episode of SBP approx 70% of the patients will have recurrence at the end of one year.
3. Untreated mortality is 90%
4. Usual source is gut bacteria
5. a.Gram stain a useful diagnostic test

3. Which one of the following statements regarding Spontaneous bacterial peritonitis (SBP) is false?

1. Sugar: >2.8 mmol/L in Secondary BP
2. Patients recovering from SBP should be referred to transplant centre
3. GI bleeding is a risk factor for SBP in cirrhotic patients
4. SBP is confirmed by positive bacterial culture of the ascitic fluid and ascitic fluid neutrophil count of >250cells/mm3
5. a.The commonest symptom in SBP is fever

4. Which one of the following statements regarding Spontaneous bacterial peritonitis (SBP) is true?

1. a.Patient should be given secondary prophylaxis with Norfloxacin 400mg OD or ciprofloxacin 500mg OD- reduces the probability of recurrence of SBP from 68% to 20%
2. a.Cell count should be sent in EDTA tube not white top containers
3. a.Ascitic fluid culture is to sent in blood culture bottle not white top containers
4. a.Third generation cephalosporin like Cefotaxime 2g BD is the drug of choice
5. a.All of the above

Gastroenterology training and education

MCQ On Spontaneous bacterial peritonitis

Help in the growth of the Gastrotraining community by submitting your MCQ.

Submit a MCQ

MCQs