A 55-year-old man with suspected UGIB is hemodynamically unstable despite fluids. What initial transfusion strategy aligns with guideline principles?...

Question

A 55-year-old man with suspected UGIB is hemodynamically unstable despite fluids. What initial transfusion strategy aligns with guideline principles?

Accepted Answer

Restrictive transfusion target with Hb threshold ~7 g/dL while correcting shock

Answer

Transfuse to Hb >10 g/dL immediately

Answer

Delay transfusion until endoscopy

Answer

No transfusion unless ischemic ECG changes

Answer

Use only crystalloid until Hb

us-usmle-step-2 MCQ (SBA): UGIB Resuscitation