A 67-year-old man with known alcoholic cirrhosis presents with increasing abdominal distension and ankle swelling. Examination confirms tense ascites ...

Question

A 67-year-old man with known alcoholic cirrhosis presents with increasing abdominal distension and ankle swelling. Examination confirms tense ascites and peripheral oedema. What is the most appropriate first-line pharmacological treatment for his ascites?

Accepted Answer

Spironolactone monotherapy

Answer

Intravenous Albumin infusions

Answer

Frusemide monotherapy

Answer

Immediate transjugular intrahepatic portosystemic shunt (TIPSS)

Answer

High-dose Prednisolone

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

A 67-year-old man with known alcoholic cirrhosis presents with increasing abdominal distension and ankle swelling. Examination confirms tense ascites and peripheral oedema. What is the most appropriate first-line pharmacological treatment for his ascites?