Question

A 48-year-old man with known alcoholic cirrhosis presents with massive haematemesis and hypotension. You suspect variceal bleeding. In addition to resuscitation and urgent endoscopy, which pharmacological therapy should be started as soon as possible?

Accepted Answer

Terlipressin and prophylactic intravenous antibiotics

Answer

High-dose oral Omeprazole alone

Answer

Oral Propranolol only

Answer

Vitamin K injection only

Answer

Long-term Spironolactone

Practice question

A 48-year-old man with known alcoholic cirrhosis presents with massive haematemesis and hypotension. You suspect variceal bleeding. In addition to resuscitation and urgent endoscopy, which pharmacological therapy should be started as soon as possible?