A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. What is the most appropriate initial pharmacologic interven...

Question

A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. What is the most appropriate initial pharmacologic intervention in suspected variceal bleeding, in addition to resuscitation and antibiotics?

Accepted Answer

Octreotide or terlipressin infusion

Answer

High-dose IV proton pump inhibitor only

Answer

Vitamin K

Answer

Oral propranolol

Answer

Tranexamic acid only

ca-mccqe1 MCQ (SBA): Acute variceal upper GI bleed

A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. What is the most appropriate initial pharmacologic intervention in suspected variceal bleeding, in addition to resuscitation and antibiotics?