Consider clarifying that diagnostic paracentesis has already been performed or is not the immediate next step. In clinical practice and exam settings, new-onset ascites in a cirrhotic patient always warrants diagnostic paracentesis first to rule out spontaneous bacterial peritonitis (SBP). The question might be interpreted as asking for the initial workup step rather than a longitudinal management/surveillance step like HCC or portal vein screening.
A clarifying phrase such as ‘after initial workup including paracentesis’ or ‘in a patient with stable cirrhosis and ascites already evaluated’ would help reduce confusion.
Not too deep, but ive missed this card after weeks multiple times because I say paracentesis and I think it is testing a different concept
Source: Society Guidelines - https://pmc.ncbi.nlm.nih.gov/articles/PMC7788190/