This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: End-Stage Liver Disease and Liver Transplantation, Subject name: Surgery
A known alcoholic presents to to the emergency room with hematemesis. On examination he has ascites with splenomegaly and gynaecomastia Diagnosis is - 
Select and explain. 
A. Portal hypertension secondary to viral hepatitis, B. Portal hypertension due to Alcoholic cirrhosis, C. Budd Chiari Syndrome, D. Primary Sclerosing Cholangitis
B: Portal hypertension due to Alcoholic cirrhosis
Answer: B: Portal hypertension due to Alcoholic cirrhosis 
Explanation: Ans. is 'b' i.e., Portal hypertension due to Alcoholic cirrhosis o The patient clearly has portal hypertension due to alcoholic cirrhosis (Gynaecomastia indicates cirrhosis as a cause of portal hypertension).