A 46-year-old woman has chronic liver disease due to alcohol-related cirrhosis and presents with tense ascites. There is no evidence of spontaneous ba...

Question

A 46-year-old woman has chronic liver disease due to alcohol-related cirrhosis and presents with tense ascites. There is no evidence of spontaneous bacterial peritonitis. According to NICE guidance, what is the first-line pharmacological treatment for ascites?

Accepted Answer

Spironolactone

Answer

High-dose Furosemide (Frusemide) monotherapy

Answer

Routine long-term albumin infusions

Answer

Immediate transjugular intrahepatic portosystemic shunt (TIPS)

Answer

No pharmacological therapy; paracentesis only

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

A 46-year-old woman has chronic liver disease due to alcohol-related cirrhosis and presents with tense ascites. There is no evidence of spontaneous bacterial peritonitis. According to NICE guidance, what is the first-line pharmacological treatment for ascites?