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Guillain-Barre syndrome — RCPSC IM MCQ

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HardNeurologyGuillain-Barre syndromeRCPSC IM

A patient with cirrhosis presents with hematemesis, hypotension and suspected esophageal variceal bleeding. After airway and circulatory assessment, what treatment bundle should begin before endoscopy?

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Correct answer: E — Start vasoactive therapy and antibiotics; arrange urgent endoscopy

The best answer is “Start vasoactive therapy and antibiotics; arrange urgent endoscopy”. Suspected acute variceal hemorrhage requires early vasoactive therapy, antibiotic prophylaxis and urgent endoscopic control alongside balanced resuscitation. Waiting increases mortality, PPI alone does not control portal bleeding, routine normalization of INR can cause harm, and beta blockade is inappropriate during active shock.

Reference: Cirrhosis Care, treatment-provider resources: https://cirrhosiscare.ca/treatment-provider/