A 58-year-old with hematemesis and melena is hemodynamically stable after 1 L crystalloid. Best initial pharmacologic therapy?...

Question

A 58-year-old with hematemesis and melena is hemodynamically stable after 1 L crystalloid. Best initial pharmacologic therapy?

Accepted Answer

High-dose IV PPI bolus then continuous infusion

Answer

Start continuous octreotide infusion

Answer

Oral PPI at discharge

Answer

NSAID for pain control

Answer

Tranexamic acid routine use

us-usmle-step-2 MCQ (SBA): Upper GI Bleeding