Variceal upper GI bleed — MCCQE Part 1 MCQ

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MediumGastroenterologyVariceal upper GI bleedca-mccqe1ca-rcpsc-em

A 38-year-old woman presents with 2 days of melena and dizziness. She has cirrhosis secondary to hepatitis C and stigmata of chronic liver disease. Blood pressure is 90/60 mm Hg, heart rate 110/min and haemoglobin 75 g/L. What is the most appropriate immediate pharmacologic therapy in addition to resuscitation and urgent endoscopy referral?

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