Variceal Upper GI Bleed — MRCP Part 1 MCQ

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HardGastroenterologyVariceal Upper GI BleedMRCP Part 1 MRCEM SBA UKMLA

A 61-year-old with haematemesis and melaena. After resuscitation, which drug should be given before endoscopy for suspected variceal bleed?

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Correct answer: E — Terlipressin IV

Terlipressin reduces portal pressure and improves outcomes in variceal bleeding. PPIs are for non-variceal ulcers; erythromycin is for gastric emptying but not definitive; tranexamic acid not routine; octreotide is an alternative but terlipressin is preferred in UK practice.

Reference: NICE NG50: Acute upper GI bleeding