skip to main content

Cirrhosis variceal screening — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateInternal Medicine (chronic management)Cirrhosis variceal screeningUSMLE Step 3

A 55-year-old man with newly diagnosed compensated cirrhosis from hepatitis C has platelets 98,000/mm3 and liver stiffness suggesting portal hypertension. He has no hematemesis or ascites. He is not taking beta blockers. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Arrange screening upper endoscopy or start nonselective beta blocker if indicated

Patients with cirrhosis and portal hypertension need assessment and prophylaxis for esophageal varices using endoscopy and/or nonselective beta blockers depending on risk.

Reference: AASLD Portal Hypertension and Varices Guidance