A 54-year-old man with chronic alcohol misuse presents with abdominal distension, ankle oedema and jaundice. Ultrasound shows cirrhosis and ascites. W...

Question

A 54-year-old man with chronic alcohol misuse presents with abdominal distension, ankle oedema and jaundice. Ultrasound shows cirrhosis and ascites. Which of the following is the most appropriate first-line treatment for his ascites in addition to sodium restriction?

Accepted Answer

Spironolactone alone, titrated to response

Answer

Loop diuretic alone (Furosemide)

Answer

Thiazide diuretic alone

Answer

Immediate transjugular intrahepatic portosystemic shunt (TIPS)

Answer

Long-term antibiotics

uk-plab-1 MCQ (SBA): Cirrhotic ascites management

A 54-year-old man with chronic alcohol misuse presents with abdominal distension, ankle oedema and jaundice. Ultrasound shows cirrhosis and ascites. Which of the following is the most appropriate first-line treatment for his ascites in addition to sodium restriction?