Page 56 - Demo

MCQ 18: Malignant AscitesA 72-year-old woman with ovarian cancer presents with abdominal distension and discomfort due to ascites. What is the most appropriate initial management?A. DiureticsB. ParacentesisC. Peritoneovenous shuntD. ChemotherapyE. Albumin infusionAnswer: ParacentesisExplanation: For symptomatic malignant ascites, paracentesis is usually the most appropriate initial management. It provides rapid symptom relief and can be repeated as needed. Diuretics are often ineffective in malignant ascites and can cause electrolyte imbalances. Peritoneovenous shunts are rarely used due to high complication rates. Chemotherapy may help long-term but doesn't provide immediate relief. Albumin infusion alone doesn't address the underlying problem and is not routinely recommended for malignant ascites management.