A 58-year-old with long-term PPI use has alarm features suggesting upper GI bleed. Endoscopy shows high-risk peptic ulcer stigmata after hemostasis. R...

Question

A 58-year-old with long-term PPI use has alarm features suggesting upper GI bleed. Endoscopy shows high-risk peptic ulcer stigmata after hemostasis. Recommended acid suppression?

Accepted Answer

High-dose IV PPI infusion (e.g., 80 mg bolus then 8 mg/h for 72 hours)

Answer

Oral H2RA at bedtime

Answer

No acid suppression needed after hemostasis

Answer

Sucralfate only

Answer

Intermittent low-dose oral PPI only

us-abem MCQ (SBA): Upper GI Bleeding

A 58-year-old with long-term PPI use has alarm features suggesting upper GI bleed. Endoscopy shows high-risk peptic ulcer stigmata after hemostasis. Recommended acid suppression?