A 55-year-old man with long-standing alcohol use presents with haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After re...

Question

A 55-year-old man with long-standing alcohol use presents with haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After resuscitation, which pharmacologic therapy should be started to reduce portal pressure and rebleeding risk?

Accepted Answer

Non-selective beta blocker such as propranolol

Answer

High-dose proton pump inhibitor alone

Answer

Calcium channel blocker such as amlodipine

Answer

Angiotensin-converting enzyme inhibitor

Answer

Aspirin for portal vein thrombosis prophylaxis

ca-mccqe1 MCQ (SBA): Oesophageal variceal bleeding secondary prophylaxis

A 55-year-old man with long-standing alcohol use presents with haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After resuscitation, which pharmacologic therapy should be started to reduce portal pressure and rebleeding risk?