A 58-year-old man with alcohol-related cirrhosis presents with large-volume haematemesis and shock. He has known oesophageal varices. After airway pro...

Question

A 58-year-old man with alcohol-related cirrhosis presents with large-volume haematemesis and shock. He has known oesophageal varices. After airway protection and fluid resuscitation, what pharmacologic therapy should be started immediately?

Accepted Answer

Octreotide or other vasoactive agent plus prophylactic antibiotics

Answer

High-dose intravenous proton pump inhibitor only

Answer

Tranexamic acid only

Answer

No pharmacologic therapy until after endoscopy

Answer

Oral beta-blocker only

ca-mccqe1 MCQ (SBA): Acute variceal bleeding management

A 58-year-old man with alcohol-related cirrhosis presents with large-volume haematemesis and shock. He has known oesophageal varices. After airway protection and fluid resuscitation, what pharmacologic therapy should be started immediately?