A 62‑year‑old man with melena is stabilized; Hb 8.2 g/dL, CAD with stents 3 months ago on DAPT. Which is appropriate pre‑endoscopy?...

Question

A 62‑year‑old man with melena is stabilized; Hb 8.2 g/dL, CAD with stents 3 months ago on DAPT. Which is appropriate pre‑endoscopy?

Accepted Answer

Continue aspirin, discuss P2Y12 management with cardiology, and proceed to endoscopy within 24 hours

Answer

Hold all antiplatelets immediately with no plan

Answer

Stop aspirin only

Answer

Delay endoscopy for 72 hours for full P2Y12 washout

Answer

Switch to warfarin temporarily

us-abim MCQ (SBA): UGIB with Antiplatelets