Question

A 45-year-old man with alcohol misuse presents with haematemesis and hypotension. After resuscitation, what pharmacologic therapy should be given before endoscopy when variceal bleeding is suspected?

Accepted Answer

Octreotide or terlipressin

Answer

High-dose PPI infusion

Answer

Tranexamic acid only

Answer

Erythromycin orally

Answer

No drugs until endoscopy confirms source

Practice question

A 45-year-old man with alcohol misuse presents with haematemesis and hypotension. After resuscitation, what pharmacologic therapy should be given before endoscopy when variceal bleeding is suspected?