A 57-year-old man with a history of heavy alcohol use presents with confusion, jaundice and ascites. He has had several episodes of variceal bleeding ...

Question

A 57-year-old man with a history of heavy alcohol use presents with confusion, jaundice and ascites. He has had several episodes of variceal bleeding in the past. According to standard Canadian hepatology guidance, which of the following is an essential component of secondary prophylaxis for variceal haemorrhage?

Accepted Answer

Non-selective beta-blocker such as propranolol or nadolol

Answer

Proton pump inhibitor alone

Answer

Aspirin for portal vein thrombosis prevention

Answer

Routine high-dose steroids

Answer

No long-term therapy once bleeding is controlled

ca-mccqe1 MCQ (SBA): Variceal haemorrhage prophylaxis