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Cirrhosis ascites — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Cirrhosis ascitesUSMLE Step 3

A 58-year-old man with alcohol-related cirrhosis has new abdominal distension. Examination shows shifting dullness and ankle edema. Creatinine is 0.9 mg/dL and ultrasound shows ascites. Which of the following is the most appropriate next step in management?

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Correct answer: B — Diagnostic paracentesis and sodium restriction with diuretic therapy if uncomplicated

New-onset ascites in cirrhosis should undergo diagnostic paracentesis; uncomplicated ascites is treated with sodium restriction and diuretics.

Reference: AASLD Ascites in Cirrhosis Guidance