A 52-year-old man with known cirrhosis presents with progressive abdominal distension and ankle oedema. He is clinically euvolaemic otherwise. Accordi...

Question

A 52-year-old man with known cirrhosis presents with progressive abdominal distension and ankle oedema. He is clinically euvolaemic otherwise. According to standard management of cirrhotic ascites, what is the first-line diuretic regimen?

Accepted Answer

Spironolactone alone, starting at 100 mg daily (often with furosemide)

Answer

Loop diuretic alone (furosemide)

Answer

Thiazide diuretic alone

Answer

High-dose IV furosemide and fluid restriction only

Answer

No diuretics; therapeutic paracentesis only

ca-mccqe1 MCQ (SBA): Cirrhotic ascites

A 52-year-old man with known cirrhosis presents with progressive abdominal distension and ankle oedema. He is clinically euvolaemic otherwise. According to standard management of cirrhotic ascites, what is the first-line diuretic regimen?