Question

A 50-year-old man with known alcoholic cirrhosis presents with increasing ascites. Paracentesis reveals a serum-ascites albumin gradient (SAAG) >11 g/L. What is the first-line diuretic regimen recommended?

Accepted Answer

Spironolactone plus furosemide in a 100:40 mg ratio

Answer

Oral furosemide alone

Answer

Oral spironolactone alone

Answer

IV albumin infusion

Answer

Therapeutic paracentesis only

Practice question

A 50-year-old man with known alcoholic cirrhosis presents with increasing ascites. Paracentesis reveals a serum-ascites albumin gradient (SAAG) >11 g/L. What is the first-line diuretic regimen recommended?