Question

A 64-year-old presents with hematemesis and melena. After resuscitation, which pre-endoscopic and endoscopic timing strategy is guideline-concordant?

Accepted Answer

Give IV erythromycin infusion before endoscopy; perform endoscopy within 24 h if stable

Answer

Delay endoscopy >48 h; give IV omeprazole 20 mg once

Answer

Start sucralfate and schedule outpatient endoscopy

Answer

Immediate endoscopy without stabilization

Answer

Avoid PPI therapy pre- and post-endoscopy

Practice question

A 64-year-old presents with hematemesis and melena. After resuscitation, which pre-endoscopic and endoscopic timing strategy is guideline-concordant?