Question

A 55-year-old man with known alcoholic cirrhosis presents with large-volume haematemesis and hypotension. You suspect bleeding oesophageal varices. After initial fluid resuscitation, which specific pharmacological therapy should be started as soon as possible?

Accepted Answer

Intravenous terlipressin

Answer

Oral lansoprazole

Answer

Oral propranolol

Answer

Intravenous octreotide only after endoscopy

Answer

Subcutaneous low-molecular-weight heparin

Practice question

A 55-year-old man with known alcoholic cirrhosis presents with large-volume haematemesis and hypotension. You suspect bleeding oesophageal varices. After initial fluid resuscitation, which specific pharmacological therapy should be started as soon as possible?