A 59 year old man with chronic liver disease presents with increasing abdominal distension. Examination shows shifting dullness but he is haemodynamic...

Question

A 59 year old man with chronic liver disease presents with increasing abdominal distension. Examination shows shifting dullness but he is haemodynamically stable. Ultrasound confirms tense ascites without evidence of spontaneous bacterial peritonitis. What is the most appropriate first line drug treatment for his ascites?

Accepted Answer

Spironolactone monotherapy

Answer

High dose loop diuretic alone

Answer

Thiazide diuretic alone

Answer

Immediate beta blocker titration

Answer

No pharmacological treatment is indicated

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