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Capacity assessment — RCPSC IM MCQ

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

HardGeneral IM, Ethics, CanMEDSCapacity assessmentRCPSC IM

A patient has recovered from an acute variceal bleed after band ligation and completion of vasoactive and antibiotic therapy. Which secondary-prevention strategy best reduces recurrent variceal bleeding?

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

Reveal the answer and explanation

Correct answer: A — Use a non-selective beta blocker with serial band-ligation sessions

Explanation lettering: D = shown as B · B = shown as C · C = shown as D

A is correct: secondary prevention generally combines a non-selective beta blocker with serial endoscopic variceal ligation. B is inadequate. C increases bleeding. D treats ascites, not variceal recurrence. E is not preventive therapy.

Reference: Cirrhosis Care, Varices: https://cirrhosiscare.ca/treatment-provider/varices-hcp/