A 62-year-old man with cirrhosis due to chronic hepatitis C presents with abdominal distension and ankle oedema. Examination shows shifting dullness a...

Question

A 62-year-old man with cirrhosis due to chronic hepatitis C presents with abdominal distension and ankle oedema. Examination shows shifting dullness and ascites. There is no encephalopathy. Which of the following is the most appropriate first-line pharmacological regimen for ascites?

Accepted Answer

Spironolactone alone, titrated up as needed

Answer

Frusemide alone, titrated up as needed

Answer

Spironolactone in combination with frusemide from the outset

Answer

Hydrochlorothiazide plus ACE inhibitor

Answer

Large-volume paracentesis without albumin or diuretics

au-amc MCQ (SBA): Cirrhotic ascites - initial diuretic therapy

A 62-year-old man with cirrhosis due to chronic hepatitis C presents with abdominal distension and ankle oedema. Examination shows shifting dullness and ascites. There is no encephalopathy. Which of the following is the most appropriate first-line pharmacological regimen for ascites?