A 64-year-old man with a history of peptic ulcer disease presents with melaena and presyncope. Blood pressure is 90/60 mmHg and heart rate 110 beats/m...

Question

A 64-year-old man with a history of peptic ulcer disease presents with melaena and presyncope. Blood pressure is 90/60 mmHg and heart rate 110 beats/min. What is the most appropriate initial management step?

Accepted Answer

Begin aggressive resuscitation with large-bore intravenous access and crystalloids

Answer

Arrange urgent endoscopy without other interventions

Answer

Administer high-dose intravenous proton pump inhibitor and schedule endoscopy after stabilisation

Answer

Start oral proton pump inhibitor and discharge

Answer

Give immediate packed red blood cell transfusion without fluids

ca-mccqe1 MCQ (SBA): Upper gastrointestinal haemorrhage

A 64-year-old man with a history of peptic ulcer disease presents with melaena and presyncope. Blood pressure is 90/60 mmHg and heart rate 110 beats/min. What is the most appropriate initial management step?