A 54-year-old woman with compensated cirrhosis from hepatitis C has no history of gastrointestinal bleeding. Platelets are 92,000/mm3 and ultrasound

Question

A 54-year-old woman with compensated cirrhosis from hepatitis C has no history of gastrointestinal bleeding. Platelets are 92,000/mm3 and ultrasound shows splenomegaly. She has completed antiviral treatment. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Arrange screening upper endoscopy for esophageal varices

Answer

Start anticoagulation for splenomegaly

Answer

Defer evaluation until hematemesis

Answer

Order annual barium swallow as preferred test

Answer

Perform prophylactic colectomy

Variceal prevention — USMLE Step 3 MCQ

A 54-year-old woman with compensated cirrhosis from hepatitis C has no history of gastrointestinal bleeding. Platelets are 92,000/mm3 and ultrasound shows splenomegaly. She has completed antiviral treatment. Which of the following is the most appropriate screening recommendation?