Cirrhosis Coagulopathy Endoscopy — RACP Adult Medicine MCQ

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ModerateGastroenterology & HepatologyCirrhosis Coagulopathy EndoscopyRACP Adult Medicine

A 60-year-old man with cirrhosis (Child-Pugh B). Platelet 38 × 10⁹/L, INR 1.9. Needs diagnostic endoscopy. Should platelets/FFP be corrected?

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Correct answer: B — No – standard coag tests do NOT predict bleeding risk in cirrhosis

Rebalanced haemostasis in cirrhosis: INR/platelets poorly reflect true bleeding risk. Routine correction NOT recommended for diagnostic procedures.

Reference: Baveno VII – 2022; eTG – 2025